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Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes

PURPOSE: Severe complications, including screw loosening events and low fusion rates, in spinal fusion surgery using the traditional open method are problematic. This retrospective study aimed to evaluate the rate of screw loosening and the clinical outcomes of bone-mounted miniature robot-assisted...

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Autores principales: Su, Yu-Feng, Tsai, Tai-Hsin, Lieu, Ann-Shung, Lin, Chih-Lung, Chang, Chih-Hui, Tsai, Cheng-Yu, Su, Hui-Yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9041149/
https://www.ncbi.nlm.nih.gov/pubmed/35497053
http://dx.doi.org/10.2147/CIA.S359538
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author Su, Yu-Feng
Tsai, Tai-Hsin
Lieu, Ann-Shung
Lin, Chih-Lung
Chang, Chih-Hui
Tsai, Cheng-Yu
Su, Hui-Yuan
author_facet Su, Yu-Feng
Tsai, Tai-Hsin
Lieu, Ann-Shung
Lin, Chih-Lung
Chang, Chih-Hui
Tsai, Cheng-Yu
Su, Hui-Yuan
author_sort Su, Yu-Feng
collection PubMed
description PURPOSE: Severe complications, including screw loosening events and low fusion rates, in spinal fusion surgery using the traditional open method are problematic. This retrospective study aimed to evaluate the rate of screw loosening and the clinical outcomes of bone-mounted miniature robot-assisted pedicle screw placement in patients treated for degenerative spinal disease. PATIENTS AND METHODS: Data were collected from the medical records of 118 patients (mean age, 69 years). Differences in clinical outcomes, including the Oswestry disability index, visual analog scale score, screw loosening rate, cage fusion rate, and complications, were evaluated among different bone mineral densities. RESULTS: The screw loosening and cage fusion rates for all patients, normal bone mineral density, osteopenia, and osteoporosis groups were 12%, 8.6%, 13.1%, and 14%, respectively, and 85.3%, 93%, 82.5%, and 81.4%, respectively. There was a higher screw loosening rate and a lower cage fusion rate in the osteopenia and osteoporosis groups than in the normal bone density group. The accuracy of the screw placement was 97.3%. There were no statistically significant differences in the Oswestry disability index and visual analog scale scores, and no major complications for dural tear or vascular or visceral injury. CONCLUSION: Our study demonstrated an acceptable screw loosening rate in patients with osteoporosis compared to that in patients with normal bone mineral density. The robotic system resulted in accurate screw placement in patients with osteoporosis.
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spelling pubmed-90411492022-04-27 Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes Su, Yu-Feng Tsai, Tai-Hsin Lieu, Ann-Shung Lin, Chih-Lung Chang, Chih-Hui Tsai, Cheng-Yu Su, Hui-Yuan Clin Interv Aging Original Research PURPOSE: Severe complications, including screw loosening events and low fusion rates, in spinal fusion surgery using the traditional open method are problematic. This retrospective study aimed to evaluate the rate of screw loosening and the clinical outcomes of bone-mounted miniature robot-assisted pedicle screw placement in patients treated for degenerative spinal disease. PATIENTS AND METHODS: Data were collected from the medical records of 118 patients (mean age, 69 years). Differences in clinical outcomes, including the Oswestry disability index, visual analog scale score, screw loosening rate, cage fusion rate, and complications, were evaluated among different bone mineral densities. RESULTS: The screw loosening and cage fusion rates for all patients, normal bone mineral density, osteopenia, and osteoporosis groups were 12%, 8.6%, 13.1%, and 14%, respectively, and 85.3%, 93%, 82.5%, and 81.4%, respectively. There was a higher screw loosening rate and a lower cage fusion rate in the osteopenia and osteoporosis groups than in the normal bone density group. The accuracy of the screw placement was 97.3%. There were no statistically significant differences in the Oswestry disability index and visual analog scale scores, and no major complications for dural tear or vascular or visceral injury. CONCLUSION: Our study demonstrated an acceptable screw loosening rate in patients with osteoporosis compared to that in patients with normal bone mineral density. The robotic system resulted in accurate screw placement in patients with osteoporosis. Dove 2022-04-22 /pmc/articles/PMC9041149/ /pubmed/35497053 http://dx.doi.org/10.2147/CIA.S359538 Text en © 2022 Su et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Su, Yu-Feng
Tsai, Tai-Hsin
Lieu, Ann-Shung
Lin, Chih-Lung
Chang, Chih-Hui
Tsai, Cheng-Yu
Su, Hui-Yuan
Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes
title Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes
title_full Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes
title_fullStr Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes
title_full_unstemmed Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes
title_short Bone-Mounted Robotic System in Minimally Invasive Spinal Surgery for Osteoporosis Patients: Clinical and Radiological Outcomes
title_sort bone-mounted robotic system in minimally invasive spinal surgery for osteoporosis patients: clinical and radiological outcomes
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9041149/
https://www.ncbi.nlm.nih.gov/pubmed/35497053
http://dx.doi.org/10.2147/CIA.S359538
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