Faculty of Medicine, Department of Orthopaedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Faculty of Medicine, Institute for Functional and Clinical Anatomy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Sci Rep. 2024 Nov 6;14(1):26995. doi: 10.1038/s41598-024-77892-8.
Aim was to compare image-guided navigation with a robot-assisted solution for performing MISS regarding precision, required time and subjective aspects. 90 pedicles were instrumented on two torsos, half with navigation, half robot-assisted. Precision analysis between both solutions didn't show a significant difference. Time measurement showed a significantly longer duration per wire for the robot-arm on the first torso and a not significant longer duration on the second torso, where a significant reduction in the mean duration was shown. There was no significant difference in the subjective impressions comparing navigation and robot except the possibility to change the procedure. Precision of both methods is suitable for clinical use. A time advantage using the robot-arm couldn't be demonstrated in the present study. A significant learning curve was shown, so a reduction in the longer duration on the robot can be expected. Further studies in clinical use are necessary.
目的是比较在 MISS 中使用图像引导导航与机器人辅助解决方案在精度、所需时间和主观方面的差异。在两个躯干上共进行了 90 个椎弓根置钉，一半使用导航，一半使用机器人辅助。两种解决方案的精度分析没有显示出显著差异。时间测量显示，在第一个躯干上，机器人臂的每根钢针的用时明显更长，而在第二个躯干上，用时没有显著增加，但平均用时明显减少。在比较导航和机器人的主观印象方面，除了可以改变手术程序外，没有显著差异。两种方法的精度都适合临床使用。在本研究中，使用机器人臂并没有显示出时间上的优势。显著的学习曲线表明，机器人臂的用时较长的情况有望减少。在临床应用中还需要进一步研究。
