Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fractures

Abstract The objective was to compare the clinical efficacy of percutaneous pedicle screw internal fixation with the aid of the TINAVI orthopaedic surgery robot with that of traditional open surgery for Levine–Edward type IIA (postreduction) hangman fractures and to evaluate the safety and efficacy...

Full description

Bibliographic Details
Main Authors: Shuai Li, Jinpeng Du, Yunfei Huang, Dingjun Hao, Zhigang Zhao, Zhen Chang, Jingwen Zhu, Xiaodong Wang, Yongchao Duan, BaoRong He
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-43136-4
_version_ 1797576588427001856
author Shuai Li
Jinpeng Du
Yunfei Huang
Dingjun Hao
Zhigang Zhao
Zhen Chang
Jingwen Zhu
Xiaodong Wang
Yongchao Duan
BaoRong He
author_facet Shuai Li
Jinpeng Du
Yunfei Huang
Dingjun Hao
Zhigang Zhao
Zhen Chang
Jingwen Zhu
Xiaodong Wang
Yongchao Duan
BaoRong He
author_sort Shuai Li
collection DOAJ
description Abstract The objective was to compare the clinical efficacy of percutaneous pedicle screw internal fixation with the aid of the TINAVI orthopaedic surgery robot with that of traditional open surgery for Levine–Edward type IIA (postreduction) hangman fractures and to evaluate the safety and efficacy of the TINAVI robot-assisted orthopaedic surgery procedure. The clinical data of 60 patients with Levine–Edward type IIA (postreduction) hangman fractures treated surgically from June 2015 to February 2022 were analysed retrospectively. Among these patients, 25 were treated with percutaneous pedicle screw fixation under TINAVI (the robot group), and 35 were treated with pedicle screw implantation assisted by a conventional C-arm X-ray machine (the traditional operation group). The pedicle screw placement grade was evaluated according to the Rampersaud scale. The correct rate of pedicle screw placement was calculated. The invasion of adjacent facet joints, VAS score (Visual Analogue Scale), NDI score (Neck Disability Index), SF-36 score (36-Item Short-Form Health Survey questionnaire), EQ-5D score (EuroQol-5 dimensions questionnaire) and operation-related data were recorded, and patients were followed up. All patients were followed up for an average of 15.0 ± 3.4 months. The accuracy of screw placement in the robot group was higher than that in the traditional operation group, while the rates of intraoperative blood loss and invasion of the facet joint were lower and the incision length and length of hospital stay were shorter. On the 3rd day after the operation, the VAS score in the robot group was significantly higher than that in the traditional operation group, but there was no significant difference in the NDI score. On the 3rd day after the operation, the SF-36 and EQ-5 questionnaire scores of the robot group were better than those of the traditional operation group. No complications occurred in any of the patients. Postoperative cervical X-ray showed that the cervical vertebra was stable, and there was no fracture, angle or displacement. Postoperative CT showed that all fractures healed, and the average healing time was 3.4 months. The treatment of Levine–Edward IIA (postrepositioning) hangman fractures with percutaneous pedicle fixation assisted by the TINAVI orthopaedic surgery robot can significantly improve screw placement accuracy with a low rate of invasion of the adjacent facet joint, a short operation time, a low bleeding rate, and high patient satisfaction. Although there are still many disadvantages, it still has good prospects for application.
first_indexed 2024-03-10T21:55:08Z
format Article
id doaj.art-05b732d7905d4b10a619a220acdb9b40
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-10T21:55:08Z
publishDate 2023-09-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-05b732d7905d4b10a619a220acdb9b402023-11-19T13:08:14ZengNature PortfolioScientific Reports2045-23222023-09-0113111010.1038/s41598-023-43136-4Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fracturesShuai Li0Jinpeng Du1Yunfei Huang2Dingjun Hao3Zhigang Zhao4Zhen Chang5Jingwen Zhu6Xiaodong Wang7Yongchao Duan8BaoRong He9Department of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong UniversityAbstract The objective was to compare the clinical efficacy of percutaneous pedicle screw internal fixation with the aid of the TINAVI orthopaedic surgery robot with that of traditional open surgery for Levine–Edward type IIA (postreduction) hangman fractures and to evaluate the safety and efficacy of the TINAVI robot-assisted orthopaedic surgery procedure. The clinical data of 60 patients with Levine–Edward type IIA (postreduction) hangman fractures treated surgically from June 2015 to February 2022 were analysed retrospectively. Among these patients, 25 were treated with percutaneous pedicle screw fixation under TINAVI (the robot group), and 35 were treated with pedicle screw implantation assisted by a conventional C-arm X-ray machine (the traditional operation group). The pedicle screw placement grade was evaluated according to the Rampersaud scale. The correct rate of pedicle screw placement was calculated. The invasion of adjacent facet joints, VAS score (Visual Analogue Scale), NDI score (Neck Disability Index), SF-36 score (36-Item Short-Form Health Survey questionnaire), EQ-5D score (EuroQol-5 dimensions questionnaire) and operation-related data were recorded, and patients were followed up. All patients were followed up for an average of 15.0 ± 3.4 months. The accuracy of screw placement in the robot group was higher than that in the traditional operation group, while the rates of intraoperative blood loss and invasion of the facet joint were lower and the incision length and length of hospital stay were shorter. On the 3rd day after the operation, the VAS score in the robot group was significantly higher than that in the traditional operation group, but there was no significant difference in the NDI score. On the 3rd day after the operation, the SF-36 and EQ-5 questionnaire scores of the robot group were better than those of the traditional operation group. No complications occurred in any of the patients. Postoperative cervical X-ray showed that the cervical vertebra was stable, and there was no fracture, angle or displacement. Postoperative CT showed that all fractures healed, and the average healing time was 3.4 months. The treatment of Levine–Edward IIA (postrepositioning) hangman fractures with percutaneous pedicle fixation assisted by the TINAVI orthopaedic surgery robot can significantly improve screw placement accuracy with a low rate of invasion of the adjacent facet joint, a short operation time, a low bleeding rate, and high patient satisfaction. Although there are still many disadvantages, it still has good prospects for application.https://doi.org/10.1038/s41598-023-43136-4
spellingShingle Shuai Li
Jinpeng Du
Yunfei Huang
Dingjun Hao
Zhigang Zhao
Zhen Chang
Jingwen Zhu
Xiaodong Wang
Yongchao Duan
BaoRong He
Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fractures
Scientific Reports
title Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fractures
title_full Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fractures
title_fullStr Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fractures
title_full_unstemmed Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fractures
title_short Comparison of the efficacies of TINAVI robot-assisted surgery and conventional open surgery for Levine–Edward type IIA (postreduction) hangman fractures
title_sort comparison of the efficacies of tinavi robot assisted surgery and conventional open surgery for levine edward type iia postreduction hangman fractures
url https://doi.org/10.1038/s41598-023-43136-4
work_keys_str_mv AT shuaili comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT jinpengdu comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT yunfeihuang comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT dingjunhao comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT zhigangzhao comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT zhenchang comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT jingwenzhu comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT xiaodongwang comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT yongchaoduan comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures
AT baoronghe comparisonoftheefficaciesoftinavirobotassistedsurgeryandconventionalopensurgeryforlevineedwardtypeiiapostreductionhangmanfractures