Lu Zimo, Tischer Thomas, Lutter Christoph, Schnake Klaus John
Center for Spinal and Scoliosis, Surgery Malteser Waldkrankenhaus St. Marien, Erlangen, Germany.
The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine, Zunyi Medical University, China.
Brain Spine. 2024 Jul 31;4:102904. doi: 10.1016/j.bas.2024.102904. eCollection 2024.
The goal of this systematic review is to offer a detailed summary of the present status of robotic-assisted surgery for adult spinal deformity.
This review is based on articles systematically searched in PubMed, Medline, and Web of Science Core Collection databases on robotic-assisted surgery for adult spinal deformity. Differences in the precision of pedicle screw placement, duration of surgery, and incidence of complications between robotic-assisted surgery and the conventional open surgery were considered.
A total of 172 articles were retrieved from the literature search. A total of 168 articles were excluded. Therefore, this systematic review included the remaining four original articles, including accuracy of pedicle screw placement, operative time, radiation exposure, intraoperative and postoperative complications, respectively. The overall level of evidence in the studies was moderate to low.
Robotic-assisted surgery for adult spinal deformity demonstrates the potential to enhance the precision of screw placement, possibly reduce intraoperative and postoperative complications, and decrease radiation exposure. However, the impact on operation duration requires further investigation.
本系统评价的目的是详细总结成人脊柱畸形机器人辅助手术的现状。
本评价基于在PubMed、Medline和科学引文索引核心合集数据库中系统检索到的关于成人脊柱畸形机器人辅助手术的文章。考虑了机器人辅助手术与传统开放手术在椎弓根螺钉置入精度、手术时间和并发症发生率方面的差异。
通过文献检索共检索到172篇文章。总共排除了168篇文章。因此，本系统评价纳入了其余4篇原始文章，分别涉及椎弓根螺钉置入的准确性、手术时间、辐射暴露、术中和术后并发症。这些研究的总体证据水平为中到低。
成人脊柱畸形机器人辅助手术显示出提高螺钉置入精度、可能减少术中和术后并发症以及减少辐射暴露的潜力。然而，对手术时间的影响需要进一步研究。
