지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 438 - 444 (7page)
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초록· 키워드
오류제보하기
Purpose: We prospectively assessed the early radiographic and clinical outcomes (minimum follow-up of 2 years) of robot-assistedpedicle screw fixation (Robot-PSF) and conventional freehand pedicle screw fixation (Conv-PSF). Materials and Methods: Patients were randomly assigned to Robot-PSF (37 patients) or Conv-PSF (41 patients) for posterior interbodyfusion surgery. The Robot-PSF group underwent minimally invasive pedicle screw fixation using a pre-planned robotguidedscrew trajectory. The Conv-PSF underwent screw fixation using the freehand technique. Radiographic adjacent segmentdegeneration (ASD) was measured on plain radiographs, and clinical outcomes were measured using visual analogue scale (VAS)and Oswestry disability index (ODI) scores regularly after surgery. Results: The two groups had similar values for radiographic ASD, including University California at Los Angeles grade, vertebraltranslation, angular motion, and loss of disc height (p=0.320). At final follow-up, both groups had experienced significant improvementsin back VAS, leg VAS, and ODI scores after surgery (p<0.001), although inter-group differences were not significantfor back VAS (p=0.876), leg VAS (p=0.429), and ODI scores (p=0.952). In the Conv-PSF group, revision surgery was required fortwo of the 25 patients (8%), compared to no patients in the Robot-PSF group. Conclusion: There were no significant differences in radiographic ASD and clinical outcomes between Robot-PSF and Conv-PSF. Thus, the advantages of robot-assisted surgery (accurate pedicle screw insertion and minimal facet joint violation) do not appearto be clinically significant.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Molliqaj G / 2017 / Accuracy of robot-guided versus freehand fluoroscopy-assisted pedicle screw insertion in thoracolumbar spinal surgery / Neurosurg Focus 42:E14
Lonjon N / 2016 / Robot-assisted spine surgery: feasibility study through a prospective case-matched analysis / Eur Spine J 25:947~955
Kuo KL / 2016 / Assessing the intraoperative accuracy of pedicle screw placement by using a bone-mounted miniature robot system through secondary registration / PLoS One 11:e0153235
Schatlo B / 2014 / Safety and accuracy of robot-assisted versus fluoroscopy guided pedicle screw insertion for degenerative diseases of the lumbar spine: a matched cohort comparison / J Neurosurg Spine 20:636~643
Hu X / 2013 / Robotic-assisted pedicle screw placement: lessons learned from the first 102 patients / Eur Spine J 22:661~666
Lonjon N / 2016 / Robot-assisted spine surgery: feasibility study through a prospective case-matched analysis / Eur Spine J 25:947~955
Kuo KL / 2016 / Assessing the intraoperative accuracy of pedicle screw placement by using a bone-mounted miniature robot system through secondary registration / PLoS One 11:e0153235
Schatlo B / 2014 / Safety and accuracy of robot-assisted versus fluoroscopy guided pedicle screw insertion for degenerative diseases of the lumbar spine: a matched cohort comparison / J Neurosurg Spine 20:636~643
Hu X / 2013 / Robotic-assisted pedicle screw placement: lessons learned from the first 102 patients / Eur Spine J 22:661~666
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