Evidence map›Paper›PMID 42799947›Full record

ArticleJournal of robotic surgery2026

Utilisation of table-mounted versus floor-mounted robotic systems for thoracolumbar fusion: a before-and-after institutional experience.

Shane Zaw, Joshua Zhi En Koh, Joseph Jon Yin Wan, Tay Zhiquan, Thevandiran Kanavathy, Lilian Ow, Shree Kumar Dinesh, Andy Kuei Siong Yeo, Hong Lee Terry Teo, Zhihong Chew and 6 more

Abstract readComparative Study
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In one paragraph

Article in Journal of robotic surgery, 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

16 authors.

Shane ZawDivision of Neurosurgery, Changi General Hospital, 2 Simei St 3, level 7, Singapore, 529889, Singapore. zaw_shane_ang@nni.com.sg.
Joshua Zhi En KohMinistry of Health Holdings, Singapore, Singapore.
Joseph Jon Yin WanDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Tay ZhiquanMinistry of Health Holdings, Singapore, Singapore.
Thevandiran KanavathyMinistry of Health Holdings, Singapore, Singapore.
Lilian OwDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Shree Kumar DineshDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Andy Kuei Siong YeoDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Hong Lee Terry TeoDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Zhihong ChewDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Nishal Kishinchand PrimalaniDivision of Neurosurgery, Changi General Hospital, 2 Simei St 3, level 7, Singapore, 529889, Singapore.
Dalun LeongDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Lee Zhiquan DamianDivision of Neurosurgery, Changi General Hospital, 2 Simei St 3, level 7, Singapore, 529889, Singapore.
Mon Hnin TunDepartment of Health Services Research, Changi General Hospital, Singapore, Singapore.
Chen ShenDepartment of Orthopedic Surgery, Changi General Hospital, Singapore, Singapore.
Lester LeeDivision of Neurosurgery, Changi General Hospital, 2 Simei St 3, level 7, Singapore, 529889, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robot-assisted spinal fusion is increasingly prevalent, with floor-mounted and table-mounted systems available. Direct comparative data are limited, particularly regarding institutional adoption and utilization.This IRB-approved retrospective study analyzed a before-and-after institutional experience of 601 navigated thoracolumbar fusions at Changi General Hospital from May 2022 to April 2025. Cases were grouped by the system available during consecutive periods: table-mounted (May 2022-October 2023) or floor-mounted (November 2023 onwards). Demographic variables, operative time per fused level, utilization rates, case context (elective vs. emergency), surgeon adoption, and a Revenue-to-Asset Cost Ratio analysis were evaluated.Among 601 fusions (294 during the table-mounted period; 307 during the floor-mounted period), robotic utilization was significantly higher with the floor-mounted system (52.0% vs. 9.2%, p < 0.0001). The floor-mounted system was employed in emergencies (63/159 cases; 39.6%), whereas the table-mounted system was restricted to elective procedures (0/27 cases; 0%) (p < 0.001). The floor-mounted system handled broader case complexity (p < 0.001) and saw increased surgeon adoption (100% vs. 33%, p = 0.015), though all surgeons received formal training in the latter period. Standardizing for construct complexity, the median operative time per level was significantly shorter for the floor-mounted system compared to the table-mounted system (125.0 vs. 190.0 min; p < 0.001). Total Revenue-to-Asset Cost Ratio was 145.16% vs. 74.39%.Both platform offer distinct benefits, though outcomes depend on surgeon proficiency. The floor-mounted system demonstrated superior versatility - wider surgeon adoption, emergency applicability, concurrent use, and better financial returns, providing practical considerations for hospitals evaluating spinal robotics investments.

Indexed as

Lumbar VertebraeRobotic Surgical ProceduresSpinal FusionThoracic VertebraeCosts and Cost AnalysisHumansOperative TimeRetrospective StudiesHealth Care CostsOperative TimeRobotic Surgical ProceduresSpinal FusionSpine

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Registered trials

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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.