AI Article Synopsis
- - A new mini robot has been developed to enhance the precision of placing pedicle screws in spine surgery, but its effectiveness compared to traditional methods is debated.
- - A meta-analysis of studies was conducted, involving multiple trials and research articles, ultimately focusing on 10 relevant papers that compared robotic-assisted (RA) and free-hand (FH) techniques.
- - Results showed that the RA technique significantly outperformed the FH method in terms of accuracy, indicating that robotic assistance is a better option for pedicle screw placement.
Article Abstract
Background: A miniature spine-mounted robot has recently been introduced to further improve the accuracy of pedicle screw placement in spine surgery. However, the differences in accuracy between the robotic-assisted (RA) technique and the free-hand with fluoroscopy-guided (FH) method for pedicle screw placement are controversial. A meta-analysis was conducted to focus on this problem.
Methods: Several randomized controlled trials (RCTs) and cohort studies involving RA and FH and published before January 2017 were searched for using the Cochrane Library, Ovid, Web of Science, PubMed, and EMBASE databases. A total of 55 papers were selected. After the full-text assessment, 45 clinical trials were excluded. The final meta-analysis included 10 articles.
Results: The accuracy of pedicle screw placement within the RA group was significantly greater than the accuracy within the FH group (odds ratio 95%, "perfect accuracy" confidence interval: 1.38-2.07, P < .01; odds ratio 95% "clinically acceptable" Confidence Interval: 1.17-2.08, P < .01).
Conclusions: There are significant differences in accuracy between RA surgery and FH surgery. It was demonstrated that the RA technique is superior to the conventional method in terms of the accuracy of pedicle screw placement.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392558 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000010970 | DOI Listing |
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