Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective study
Abstract Background Unilateral biportal endoscopic lumbar interbody fusion (UBE-LIF) has been successfully used to treat degenerative lumbar spinal diseases. Nevertheless, the duration of the UBE-LIF procedure notably exceeds that of minimally invasive transforaminal lumbar interbody fusion (Mis-TLI...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-04-01
|
| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40001-025-02433-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849733349636046848 |
|---|---|
| author | Guofang Fang Jin Zhang Hailun Zhu Xunwei Lai Jianchang Wu Xiuwang Li Zhouxu Hou Fangxin Chen Hongxun Sang |
| author_facet | Guofang Fang Jin Zhang Hailun Zhu Xunwei Lai Jianchang Wu Xiuwang Li Zhouxu Hou Fangxin Chen Hongxun Sang |
| author_sort | Guofang Fang |
| collection | DOAJ |
| description | Abstract Background Unilateral biportal endoscopic lumbar interbody fusion (UBE-LIF) has been successfully used to treat degenerative lumbar spinal diseases. Nevertheless, the duration of the UBE-LIF procedure notably exceeds that of minimally invasive transforaminal lumbar interbody fusion (Mis-TLIF), increasing the potential for perioperative complications, particularly in elderly patients. Objective This retrospective study aimed to compare the results of robot assistance (RA) and non-assistance (NA) groups and to explore the benefits of UBE-LIF assisted by a Tianji robot in aged patients. Methods 60 patients were divided into two groups: 30 patients in the RA group and 30 in the NA group from January 2022 to June 2023. The surgical duration, estimated intraoperative blood loss, postoperative drainage, length of hospital stays, and radiation exposure were examined and documented. Clinical assessments, including the Oswestry Disability Index (ODI), visual analog scale (VAS), modified MacNab criteria, postoperative complications, and interbody fusion rate, were also evaluated. Results No significant differences were observed between the two groups in terms of postoperative drainage, length of postoperative hospital stay, or fusion rate. However, the RA group exhibited lower perioperative complications, estimated intraoperative blood loss, and duration of radiation exposure than the NA group. The average total operation time in the RA group was 105.3 ± 25.8 min, which was significantly shorter than the NA group’s average of 130.5 ± 22.5 min (P < 0.001). Furthermore, both groups demonstrated improvements in all clinical outcomes at various postoperative time points, with no significant differences between them (P > 0.05). Conclusions Compared with the NA approach, robot-assisted UBE-LIF technology provides accurate intraoperative guidance and helps spinal surgeons achieve accurate decompression. Furthermore, it can reduce radiation exposure, operation time, blood loss, and surgical complications, thereby improving the surgical efficiency and safety. |
| format | Article |
| id | doaj-art-4b671afebad44242bdeb543d4be992f6 |
| institution | DOAJ |
| issn | 2047-783X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj-art-4b671afebad44242bdeb543d4be992f62025-08-20T03:08:05ZengBMCEuropean Journal of Medical Research2047-783X2025-04-013011710.1186/s40001-025-02433-6Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective studyGuofang Fang0Jin Zhang1Hailun Zhu2Xunwei Lai3Jianchang Wu4Xiuwang Li5Zhouxu Hou6Fangxin Chen7Hongxun Sang8Orthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityOrthopaedics Department, Shenzhen Hospital of Southern Medical UniversityAbstract Background Unilateral biportal endoscopic lumbar interbody fusion (UBE-LIF) has been successfully used to treat degenerative lumbar spinal diseases. Nevertheless, the duration of the UBE-LIF procedure notably exceeds that of minimally invasive transforaminal lumbar interbody fusion (Mis-TLIF), increasing the potential for perioperative complications, particularly in elderly patients. Objective This retrospective study aimed to compare the results of robot assistance (RA) and non-assistance (NA) groups and to explore the benefits of UBE-LIF assisted by a Tianji robot in aged patients. Methods 60 patients were divided into two groups: 30 patients in the RA group and 30 in the NA group from January 2022 to June 2023. The surgical duration, estimated intraoperative blood loss, postoperative drainage, length of hospital stays, and radiation exposure were examined and documented. Clinical assessments, including the Oswestry Disability Index (ODI), visual analog scale (VAS), modified MacNab criteria, postoperative complications, and interbody fusion rate, were also evaluated. Results No significant differences were observed between the two groups in terms of postoperative drainage, length of postoperative hospital stay, or fusion rate. However, the RA group exhibited lower perioperative complications, estimated intraoperative blood loss, and duration of radiation exposure than the NA group. The average total operation time in the RA group was 105.3 ± 25.8 min, which was significantly shorter than the NA group’s average of 130.5 ± 22.5 min (P < 0.001). Furthermore, both groups demonstrated improvements in all clinical outcomes at various postoperative time points, with no significant differences between them (P > 0.05). Conclusions Compared with the NA approach, robot-assisted UBE-LIF technology provides accurate intraoperative guidance and helps spinal surgeons achieve accurate decompression. Furthermore, it can reduce radiation exposure, operation time, blood loss, and surgical complications, thereby improving the surgical efficiency and safety.https://doi.org/10.1186/s40001-025-02433-6Unilateral biportal endoscopic lumbar interbody fusionRobot assistancePostoperative complicationsMis-TLIF |
| spellingShingle | Guofang Fang Jin Zhang Hailun Zhu Xunwei Lai Jianchang Wu Xiuwang Li Zhouxu Hou Fangxin Chen Hongxun Sang Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective study European Journal of Medical Research Unilateral biportal endoscopic lumbar interbody fusion Robot assistance Postoperative complications Mis-TLIF |
| title | Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective study |
| title_full | Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective study |
| title_fullStr | Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective study |
| title_full_unstemmed | Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective study |
| title_short | Unilateral biportal endoscopic lumbar interbody fusion assisted by a Tianji robot for lumbar degenerative disease in elderly patients: a retrospective study |
| title_sort | unilateral biportal endoscopic lumbar interbody fusion assisted by a tianji robot for lumbar degenerative disease in elderly patients a retrospective study |
| topic | Unilateral biportal endoscopic lumbar interbody fusion Robot assistance Postoperative complications Mis-TLIF |
| url | https://doi.org/10.1186/s40001-025-02433-6 |
| work_keys_str_mv | AT guofangfang unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT jinzhang unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT hailunzhu unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT xunweilai unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT jianchangwu unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT xiuwangli unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT zhouxuhou unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT fangxinchen unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy AT hongxunsang unilateralbiportalendoscopiclumbarinterbodyfusionassistedbyatianjirobotforlumbardegenerativediseaseinelderlypatientsaretrospectivestudy |