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Fluoroscopy time analysis of a prospective, multi‐centre study comparing robotic‐ and fluoroscopic‐guided placement of percutaneous pedicle screw instrumentation for short segment minimally invasive lumbar fusion surgery
Author(s) -
Jamshidi Aria M.,
Massel Dustin H.,
Liounakos Jason I.,
Silman Zmira,
Good Christopher R.,
Schroerlucke Samuel R.,
Cannestra Andrew,
Hsu Victor,
Lim Jae,
Zahrawi Faissal,
Ramirez Pedro M.,
Sweeney Thomas M.,
Wang Michael Y.
Publication year - 2021
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2188
Subject(s) - fluoroscopy , medicine , radiation exposure , percutaneous , lumbar , surgery , lumbar spine , invasive surgery , prospective cohort study , randomized controlled trial , spinal fusion , radiology , nuclear medicine
Background As minimally invasive spine surgery becomes more widespread, concerns regarding radiation exposure to surgeons and patients alike have become a growing concern. Robotic guidance has been developed as a way to increase the accuracy of instrumentation while decreasing radiation burden. Methods A retrospective analysis of a large, multi‐centre, prospective study comparing robotic‐guided (RG) to fluoroscopic‐guided (FG) (Multi‐centre, Partially Randomized, Controlled Trial of MIS Robotic vs. Freehand in Short Adult Degenerative Spinal Fusion Surgeries) was performed to evaluate for differences in radiation exposure between study groups. Results RG was associated with 78.3% ( p < 0.001) and 79.8% ( p < 0.001) reduction in total and per screw fluoroscopy times, respectively, as compared to FG. RG was also associated with a 50.8% ( p < 0.001) reduction in total operative fluoroscopy time. Conclusions RG was associated with significantly lower fluoroscopy times compared to FG. This suggests that utilization of robotic navigation systems may result in decreased operative radiation exposure, which is a growing concern for surgeons performing minimally invasive spine surgery.