Robot-assisted percutaneous pedicle screw placement accuracy compared with alternative guidance in lateral single-position surgery: a systematic review and meta-analysis.

Journal: Journal of neurosurgery. Spine
Published Date: Jun 23, 2023

Abstract

OBJECTIVE: While single-position surgery (SPS) eliminates the need for patient repositioning, the placement of screws in the unconventional lateral position poses unique challenges related to asymmetry relative to the surgical table. Use of robotic guidance or intraoperative navigation can help to overcome this. The aim of this study was to compare the relative accuracies offered by these various navigation modalities for pedicle screws placed in lateral SPS.

Authors

  • Neal A Patel
    1School of Medicine, Mercer University, Columbus, Georgia.
  • Cathleen C Kuo
    2Department of Neurosurgery, University at Buffalo, New York.
  • Zach Pennington
    Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Nolan J Brown
    School of Medicine, University of California, Irvine, Irvine, CA.
  • Julian Gendreau
    5Department of Biomedical Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland.
  • Rohin Singh
    Department of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
  • Shane Shahrestani
    Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA; Department of Medical Engineering, California Institute of Technology, Pasadena, California, USA.
  • Candler Boyett
    1School of Medicine, Mercer University, Columbus, Georgia.
  • Luis Daniel Diaz-Aguilar
    9Department of Neurosurgery, University of California, San Diego, La Jolla, California.
  • Martin H Pham
    Department of Neurosurgery, University of San Diego Health, Sand Diego, CA, USA.

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