Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trial

Abstract Background This study evaluated the minimal invasiveness, safety, and accuracy of robot-assisted pedicle screw placement procedure using a modified tracer fixation device. Methods Patients were randomly assigned to conventional fixation group (25 patients) and modified fixation group (27 pa...

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Main Authors: Li Yongqi, Zhang Dehua, Wu Hongzi, Zhang Ke, Yang Rui, Fang Zhou, Wang Shaobo, Liao Yi
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-020-03239-9
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author Li Yongqi
Zhang Dehua
Wu Hongzi
Zhang Ke
Yang Rui
Fang Zhou
Wang Shaobo
Liao Yi
author_facet Li Yongqi
Zhang Dehua
Wu Hongzi
Zhang Ke
Yang Rui
Fang Zhou
Wang Shaobo
Liao Yi
author_sort Li Yongqi
collection DOAJ
description Abstract Background This study evaluated the minimal invasiveness, safety, and accuracy of robot-assisted pedicle screw placement procedure using a modified tracer fixation device. Methods Patients were randomly assigned to conventional fixation group (25 patients) and modified fixation group (27 patients). Results No baseline statistical difference was observed between the groups (P > 0.05). The length of unnecessary incision, amount of bleeding, and fixation duration for tracer fixation respectively were 6.08 ± 1.02 mm, 1.46 ± 0.84 ml, and 1.56 ± 0.32 min in the modified fixation group and 40.28 ± 8.52 mm, 12.02 ± 2.24 ml, and 5.08 ± 1.06 min in the conventional group. The difference between both groups was significant (P < 0.05). However, no significant difference between the two groups was observed in terms of the accuracy of pedicle screw placement (P > 0.05). Conclusions The modified minimally invasive procedure for tracer fixation results in minimal trauma and is simple, reliable, and highly safe. Additionally, the procedure does not compromise the accuracy of pedicle screw placement. Thus, it has great clinical applicable value. Trial registration Chinese Clinical Trial Registry: Registration number, ChiCTR1800016680 ; Registration Date, 15/06/2018.
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spelling doaj.art-e2057b2e9b8a4712b805104f3a4cb96c2022-12-22T01:28:45ZengBMCBMC Musculoskeletal Disorders1471-24742020-04-012111910.1186/s12891-020-03239-9Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trialLi Yongqi0Zhang Dehua1Wu Hongzi2Zhang Ke3Yang Rui4Fang Zhou5Wang Shaobo6Liao Yi7Department of Orthopedics, The Karamay Central HospitalDepartment of Orthopedics, The Karamay Central HospitalDepartment of Orthopedics, The Karamay Central HospitalDepartment of Orthopedics, The Karamay Central HospitalDepartment of Orthopedics, The Karamay Central HospitalDepartment of Orthopedics, The Karamay Central HospitalDepartment of Orthopedics, The Karamay Central HospitalDepartment of Orthopedics, The Karamay Central HospitalAbstract Background This study evaluated the minimal invasiveness, safety, and accuracy of robot-assisted pedicle screw placement procedure using a modified tracer fixation device. Methods Patients were randomly assigned to conventional fixation group (25 patients) and modified fixation group (27 patients). Results No baseline statistical difference was observed between the groups (P > 0.05). The length of unnecessary incision, amount of bleeding, and fixation duration for tracer fixation respectively were 6.08 ± 1.02 mm, 1.46 ± 0.84 ml, and 1.56 ± 0.32 min in the modified fixation group and 40.28 ± 8.52 mm, 12.02 ± 2.24 ml, and 5.08 ± 1.06 min in the conventional group. The difference between both groups was significant (P < 0.05). However, no significant difference between the two groups was observed in terms of the accuracy of pedicle screw placement (P > 0.05). Conclusions The modified minimally invasive procedure for tracer fixation results in minimal trauma and is simple, reliable, and highly safe. Additionally, the procedure does not compromise the accuracy of pedicle screw placement. Thus, it has great clinical applicable value. Trial registration Chinese Clinical Trial Registry: Registration number, ChiCTR1800016680 ; Registration Date, 15/06/2018.http://link.springer.com/article/10.1186/s12891-020-03239-9ModifiedMinimally invasiveTracer fixationRobotPedicle screw placement
spellingShingle Li Yongqi
Zhang Dehua
Wu Hongzi
Zhang Ke
Yang Rui
Fang Zhou
Wang Shaobo
Liao Yi
Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trial
BMC Musculoskeletal Disorders
Modified
Minimally invasive
Tracer fixation
Robot
Pedicle screw placement
title Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trial
title_full Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trial
title_fullStr Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trial
title_full_unstemmed Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trial
title_short Minimally invasive versus conventional fixation of tracer in robot-assisted pedicle screw insertion surgery: a randomized control trial
title_sort minimally invasive versus conventional fixation of tracer in robot assisted pedicle screw insertion surgery a randomized control trial
topic Modified
Minimally invasive
Tracer fixation
Robot
Pedicle screw placement
url http://link.springer.com/article/10.1186/s12891-020-03239-9
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