Orosz Lindsay D, Lee Nathan J, Gum Jeffery L, Lehman Ronald A, Hage Tamer R, Katz Jack, Amell-Angst Tyler, Roy Rita T, Poulter Gregory T, Haines Colin M, Jazini Ehsan, Good Christopher R
National Spine Health Foundation, Reston, VA, USA
Department of Orthopedics, Rush University Medical Center, Chicago, IL, USA.
Int J Spine Surg. 2025 Sep 2;19(4):437-443. doi: 10.14444/8777.
Individually, robotic guidance and 3-dimensional navigation assistance have been shown to improve surgical outcomes and accuracy in spine surgery. The pairing of these technologies may further improve outcomes; however, data are needed to support this theory. In the Prospective Robotic-Guided Registry of Spine Surgery (PRoGRSS), outcomes were tracked for cases using a bone-mounted integrated robotic-assisted navigation system. This interim analysis reports on 90-day complications and revisions.
Adults undergoing navigated robotic thoracolumbar surgery from 2020 to 2022 were prospectively enrolled by 6 surgeons at 4 distinct centers. Medical, surgical, and robot-related complications and revision surgeries were collected postoperatively for up to 90 days and analyzed.
Of 411 surgeries, 3469 screws were implanted. The mean number of levels fused was 4.4 ± 3.7. Intraoperative adverse events occurred in 4.1% of cases, and 0.5% were robot related. The frequency of patients with at least 1 postoperative surgical complication was 6.6%, none being robot related. The frequency of patients with at least 1 postoperative medical complication was 18.2%. The revision surgery rate at 90 days was 1.5%, none of which were robot related.
This first-of-its-kind study of an integrated navigation and robotic spine platform demonstrates low complication and revision surgery rates for thoracolumbar fusion. This interim analysis of PRoGRSS showed 4.1% intraoperative complications, 6.6% postoperative surgical complications, and 1.5% revision surgeries. With advancements in technology and increased surgical expertise, navigated robotics continues to demonstrate consistently low rates of 90-day complications and revision surgeries, supporting its reliability.
The interim analysis of PRoGRSS suggests that the integration of robotic guidance with 3-dimensional navigation is reproducibly effective in the surgical setting.
单独来看，机器人引导和三维导航辅助已被证明可改善脊柱手术的手术效果和准确性。这两种技术的结合可能会进一步改善手术效果；然而，需要数据来支持这一理论。在脊柱手术前瞻性机器人引导注册研究（PRoGRSS）中，对使用骨固定集成机器人辅助导航系统的病例的手术效果进行了跟踪。本中期分析报告了90天内的并发症和翻修情况。
2020年至2022年期间，4个不同中心的6名外科医生前瞻性纳入了接受机器人辅助胸腰椎手术的成年人。术后收集长达90天的医疗、手术和与机器人相关的并发症以及翻修手术情况并进行分析。
在411例手术中，共植入3469枚螺钉。平均融合节段数为4.4±3.7。4.1%的病例发生术中不良事件，其中0.5%与机器人相关。至少发生1例术后手术并发症的患者比例为6.6%，均与机器人无关。至少发生1例术后医疗并发症的患者比例为18.2%。90天时的翻修手术率为1.5%，均与机器人无关。
这项关于集成导航和机器人脊柱平台的同类首次研究表明，胸腰椎融合术的并发症和翻修手术率较低。PRoGRSS的这项中期分析显示，术中并发症发生率为4.1%，术后手术并发症发生率为6.6%，翻修手术率为1.5%。随着技术的进步和手术专业知识的增加，导航机器人技术持续显示出90天并发症和翻修手术的发生率始终较低，证明了其可靠性。
PRoGRSS的中期分析表明，机器人引导与三维导航的整合在手术环境中具有可重复的有效性。
