Robotics is useful for less-experienced surgeons in spinal deformity surgery.
Eur J Orthop Surg Traumatol
; 33(5): 1805-1810, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-35976573
ABSTRACT
PURPOSE:
To verify whether robotics was useful for surgeons who had less experience with spinal deformity surgery.METHODS:
A retrospective review was conducted of 70 consecutive patients who underwent robotic-assisted pedicle screw placements with open procedures using a spine robotic system (Mazor X Stealth Edition) at a single institution from April 2021 to April 2022. Gertzbein-Robbins grades were used to assess the deviation of the 599 pedicle screws in the postoperative CT images. The rate of Grade A was considered the perfect accuracy rate, and the rate of Grades C, D, and E was calculated as the deviation rate. The perfect accuracy rate and deviation rate were compared between the spinal deformity and the non-deformity groups. The perfect accuracy rate, deviation rate, and screw insertion time were compared in the spinal deformity cases between the expert surgeon group and the less-experienced surgeon group.RESULTS:
The deviation rate of the spinal deformity group was higher than that of the non-deformity group even though there was no statistically significant difference (spinal deformity group 2.3%, non-deformity group 1.2%, p = 0.350). In the spinal deformity cases, there was no significant difference in the perfect accuracy rate between the expert surgeon group and the less-experienced surgeon group, but the deviation rate was significantly lower in the less-experienced surgeon group (expert surgeon group 5.0%, less-experienced surgeon group 0%, p = 0.008). The screw insertion time was significantly shorter in the less-experienced surgeon group.CONCLUSION:
Robotics is particularly useful for surgeons with less experience in spinal deformity surgery.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Fusão Vertebral
/
Robótica
/
Cirurgia Assistida por Computador
/
Procedimentos Cirúrgicos Robóticos
/
Parafusos Pediculares
/
Cirurgiões
Limite:
Humans
Idioma:
En
Revista:
Eur J Orthop Surg Traumatol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Japão