Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation

Abstract Aim was to compare image-guided navigation with a robot-assisted solution for performing MISS regarding precision, required time and subjective aspects. 90 pedicles were instrumented on two torsos, half with navigation, half robot-assisted. Precision analysis between both solutions didn’t s...

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Main Authors: Julia Katharina Sippel, Johannes Groh, Lars Bräuer, Mario Perl, Holger Stadthalter
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-77892-8
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author Julia Katharina Sippel
Johannes Groh
Lars Bräuer
Mario Perl
Holger Stadthalter
author_facet Julia Katharina Sippel
Johannes Groh
Lars Bräuer
Mario Perl
Holger Stadthalter
author_sort Julia Katharina Sippel
collection DOAJ
description Abstract Aim was to compare image-guided navigation with a robot-assisted solution for performing MISS regarding precision, required time and subjective aspects. 90 pedicles were instrumented on two torsos, half with navigation, half robot-assisted. Precision analysis between both solutions didn’t show a significant difference. Time measurement showed a significantly longer duration per wire for the robot-arm on the first torso and a not significant longer duration on the second torso, where a significant reduction in the mean duration was shown. There was no significant difference in the subjective impressions comparing navigation and robot except the possibility to change the procedure. Precision of both methods is suitable for clinical use. A time advantage using the robot-arm couldn’t be demonstrated in the present study. A significant learning curve was shown, so a reduction in the longer duration on the robot can be expected. Further studies in clinical use are necessary.
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spelling doaj-art-2520fe492b5c4573a83323904eb6cd952025-08-20T02:13:39ZengNature PortfolioScientific Reports2045-23222024-11-0114111110.1038/s41598-024-77892-8Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigationJulia Katharina Sippel0Johannes Groh1Lars Bräuer2Mario Perl3Holger Stadthalter4Faculty of Medicine, Department of Orthopaedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-NürnbergFaculty of Medicine, Department of Orthopaedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-NürnbergFaculty of Medicine, Institute for Functional and Clinical Anatomy, Friedrich-Alexander-Universität Erlangen-NürnbergFaculty of Medicine, Department of Orthopaedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-NürnbergFaculty of Medicine, Department of Orthopaedic and Trauma Surgery, Friedrich-Alexander-Universität Erlangen-NürnbergAbstract Aim was to compare image-guided navigation with a robot-assisted solution for performing MISS regarding precision, required time and subjective aspects. 90 pedicles were instrumented on two torsos, half with navigation, half robot-assisted. Precision analysis between both solutions didn’t show a significant difference. Time measurement showed a significantly longer duration per wire for the robot-arm on the first torso and a not significant longer duration on the second torso, where a significant reduction in the mean duration was shown. There was no significant difference in the subjective impressions comparing navigation and robot except the possibility to change the procedure. Precision of both methods is suitable for clinical use. A time advantage using the robot-arm couldn’t be demonstrated in the present study. A significant learning curve was shown, so a reduction in the longer duration on the robot can be expected. Further studies in clinical use are necessary.https://doi.org/10.1038/s41598-024-77892-8
spellingShingle Julia Katharina Sippel
Johannes Groh
Lars Bräuer
Mario Perl
Holger Stadthalter
Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation
Scientific Reports
title Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation
title_full Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation
title_fullStr Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation
title_full_unstemmed Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation
title_short Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation
title_sort precision and effort in robot assisted placement of pedicle screws compared to standard surgical navigation
url https://doi.org/10.1038/s41598-024-77892-8
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