Evidence map›Paper›PMID 42725022›Full record

ReviewCureus2026

Applications of Computer-Assisted and Robotic Navigation in Anterior Cervical Spine Surgery: A Scoping Review.

Armando F Pérez Castell, Jose I Fernández-Faudoa, Alfredo Porras Mendoza, Carlos A Arellanes-Chavez

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Armando F Pérez CastellNeurosurgery/ Spine Surgery, Star Medica Hospital, CISNE Spine Academy, Chihuahua, MEX.
Jose I Fernández-FaudoaNeurosurgery, Star Medica Hospital, CISNE Spine Academy, Chihuahua, MEX.
Alfredo Porras MendozaNeurosurgery, Star Medica Hospital, CISNE Spine Academy, Chihuahua, MEX.
Carlos A Arellanes-ChavezNeurosurgery, Star Medica Hospital, CISNE Spine Academy, Chihuahua, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Computer-assisted navigation and robotic guidance have become increasingly adopted in spine surgery to improve anatomical localization, trajectory planning, and implant placement accuracy. However, their application in anterior cervical spine surgery remains limited and heterogeneous. This scoping review aimed to map the available clinical evidence regarding the applications, technological evolution, safety, and reported accuracy of computer-assisted and robotic navigation in anterior cervical procedures. The review was conducted in accordance with the PRISMA extension for Scoping Reviews and the methodological framework proposed by Arksey and O'Malley. PubMed/MEDLINE was searched for English-language clinical studies published between January 2010 and December 2025. Reference lists of included articles were also manually screened. Eligible studies reported the use of computer-assisted navigation or robotic guidance in anterior cervical spine surgery. Study characteristics, surgical indications, navigation platforms, technical strategies, and clinical outcomes were extracted and qualitatively synthesized. Fourteen studies met the eligibility criteria. The evidence consisted predominantly of case reports and small case series, with only a limited number of retrospective observational studies. Navigation was used for anterior cervical discectomy and fusion, corpectomy, transcorporeal microforaminotomy, odontoid screw fixation, and complex anterior instrumentation. O-arm-based navigation and StealthStation were the most frequently reported platforms. Alternative reference-frame strategies included Mayfield-, Caspar retractor-, and clavicle-mounted systems. The included studies generally reported technically successful procedures, acceptable implant positioning, neurological or symptomatic improvement, and few complications; however, outcome definitions and follow-up were inconsistent. Computer-assisted and robotic navigation appear feasible for selected anterior cervical procedures, particularly in anatomically complex cases. Nevertheless, the available evidence remains limited, heterogeneous, and predominantly low-level. Prospective comparative studies using standardized outcome measures are required before definitive conclusions regarding clinical superiority, long-term effectiveness, or cost-effectiveness can be established.

Indexed as

anterior cervical spine surgerycomputer-assisted navigationimage-guided spine surgeryneuronavigationrobotic navigation

Identifiers

PMID42725022
PMCPMC13559935

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.