Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (3): 107-114.doi: 10.6040/j.issn.1671-7554.0.2022.1116

• 临床医学 • Previous Articles    

Clinical application of robotic-assisted navigation based on 3D C-arm in 44 cases of scoliosis surgery

LI Chao1, SUN Xiaogang2, LI Hao1, TIAN Yonghao1, YUAN Suomao1, LIU Xinyu1, WANG Lianlei1   

  1. 1. Department of Spinal Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Spinal Surgery, Tengzhou Central Peoples Hospital, Tengzhou 277500, Shandong, China
  • Published:2023-03-24

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Abstract: Objective To evaluate the accuracy and safety of robotic-assisted navigation with three-dimensional(3D)C-arm-assisted pedicle screw insertion for scoliosis surgery and compare it with freehand technique. Methods Clinical data od 96 scoliosis patients were involved, including 44 undergoing robotic-assisted technique(robot group), and 52 patients undergoing freehand technique(freehand group). Operation time, intraoperative blood loss, intraoperative radiation dose, postoperative hospital stay and complications were recorded. Changes in coronal and sagittal position parameters, apex rotation angle, postoperative rotation grade, and pedicle screw placement accuracy were evaluated with X-ray and computed tomography(CT)before and after treatment. Results Cobb angle, SVA and apex rotation angle were improved in both groups(P<0.05), but there was no differences between the two groups in the improvement rate of apex rotation and rotation grade(P>0.05). Compared with the freehand group, the robot group had higher accuracy in pedicle screw placement(96.5% vs 88.6%, P<0.05), higher radiation exposure on patients ［(4.85±0.44)μSv vs(15.97×10-5±2.35×10-5)μSv, P<0.05］, lower radiation exposure on surgeons ［(2.96×10-5±0.75×10-5)μSv vs(6.35×10-5±0.93×10-5)μSv, P<0.05)］, and longer operation time ［(7.1±2.2)h vs(5.5±1.6)h, P<0.05］. There were no significant differences in blood loss and postoperative stay between the two groups. Conclusion Robotic-assisted navigation based on 3D C-arm effectively increases the accuracy and safety of pedicle screw insertion in scoliosis surgery.

Key words: Robotic surgery, C-arm, Scoliosis, Scoliosis surgery, Pedicle screw

CLC Number: 

  • R687
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