Effectiveness and safety of robot-assisted minimally invasive transforaminal lumbar interbody fusion for degenerative lumbar spinal diseases: a systematic review and meta-analysis

AbstractRobot-assisted (RA) technology has been widely used in spine surgery. This analysis aimed to compare the effectiveness and safety of RA minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and fluoroscopy-assisted (FA) MIS-TLIF for degenerative lumbar spinal diseases (DLSD). PubMed, Web of Science, Cochrane Library, and China National Knowledge Infrastructure were systematically searched, and the outcomes included surgical parameters [operation time, blood loss, number of fluoroscopic, accuracy of pedicle screw position, superior facet joint violation (FJV)], and clinical indexes (Visual Analog Scale (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) score, clinical efficacy, hospital stays, complications). Eleven articles involving 1066 patients were included. RA group produced better results than the FA group in operation time (WMD  = − 6.59; 95% CI − 12.79 to − 0.40;P = 0.04), blood loss (WMD = − 34.81; 95% CI − 50.55 to − 19.08;P <  0.0001), number of fluoroscopic (WMD = − 18.24; 95% CI − 30.63 to − 5.85;P = 0.004), accuracy of pedicle screw position: Grade A (OR = 3.16; 95% CI 2.36–4.23;P <  0.00001), Grade B (OR = 0.39; 95% CI 0.28–0.54;P <  0.00001), Grade C (OR = 0.27; 95% CI 0.13–0.54;P = 0.0002), and Grade D (OR = 0.17; 95% CI 0.03–0.98;P = 0.05), FJV: Grade 0 (OR = 3.27; 95% CI 1.34–8.02;P = 0.010), Grade ...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research