Robot-assisted versus fluoroscopy-guided pedicle screw fixation of thoracolumbar compression fractures

医学 透视 固定(群体遗传学) 压缩(物理) 外科 口腔正畸科 环境卫生 复合材料 材料科学 人口
作者
Yongjun Li,Xing Wei,Yonghui Liang,Guangze Song
出处
期刊:Medicine [Wolters Kluwer]
卷期号:102 (48): e36430-e36430 被引量:1
标识
DOI:10.1097/md.0000000000036430
摘要

The aim of this study is to compare the clinical outcomes and accuracy of robot-assisted (RA) versus fluoroscopy-guided (FG) pedicle screw fixation of thoracolumbar compression fractures. We retrospectively enrolled 85 patients with surgically treated thoracolumbar compression fractures in our study (RA group, 45 patients; FG group, 40 patients). We analyzed the accuracy of pedicle screw placement by using the Gertzbein-Robbins classification, and calculated the one-time success rate (i.e., the rate of screws successfully inserted in the first attempt). We also evaluated volume of blood loss, operative time, visual analogue scale scores for pain, Cobb angle, and postoperative complications. The rates of grade A screw placement (96% vs 68.5%; P < .005), clinically acceptable screw placement (98.2% vs 86%; P < .005), and the one-time success rate (97.3% vs 82.5%; P < .005) were all significantly higher in the RA group than in the FG group. No differences were observed in sex, age, body mass index, volume of blood loss, operative time, visual analogue scale scores, Cobb angle, and postoperative complications between the 2 groups. Compared to FG surgery, RA surgery yielded greater accuracy and one-time success rates of pedicle screw fixation of thoracolumbar compression fractures, with comparable clinical outcomes.
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