Affiliation:
1. Ninth Hospital of Shanxi Medical University, Taiyuan Central Hospital
2. Third Hospital of Shanxi Medical University, Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,
Abstract
Abstract
Aim
To investigate the safety and accuracy of robot-assisted pedicle screw placement in adolescent idiopathic scoliosis (AIS) surgery.
Methods
PubMed, Medline, Embase, Cochrane Library, Web of Science, CNKI, and EMCC databases were searched for studies utilizing the clinical data of adolescent idiopathic scoliosis patients who underwent posterior pedicle screw fixation to collect preoperative, postoperative and follow-up indexes and imaging parameters, including screw implantation accuracy, the number of intraoperative fluoroscopy times, amount of bleeding, operation time, postoperative VAS score and postoperative Cobb angle.
Results
Six studies were included in this meta-analysis, including 154 patients in the intervention group and 171 patients in the control group. Our results showed that screw implantation accuracy (WMD 1.07, 95% CI (1.01,1.14), P = 0.03) was higher than that in the control group. The number of intraoperative fluoroscopy times (WMD − 6.11, 95% CI (-9.60, -2.62), P = 0.0006) and operation time (WMD 31.52, 95% CI (5.70,57.35), P = 0.02) in the robot group were less, and the differences were statistically significant. Intraoperative blood (WMD − 59.05, 95% CI (-212.81,94.70), P = 0.45), postoperative VAS score (WMD − 0.07, 95% CI (-0.24,0.11), P = 0.46), postoperative Cobb angle (WMD 0.79, 95% CI (-1.12,2.69), P = 0.42) had no statistical significance in the robot group compared with control group.
Conclusion
The robot navigation system can improve screw implantation accuracy and reduce the operation time and radiation exposure during the operation.
Publisher
Research Square Platform LLC
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