Robotic Spine Surgery vs Navigation-Based Systems
Author Information
Author(s): Paramasivam Meenakshi Sundaram Pirateb, Peh Daniel Yang Yao, Poh Jane Wenjin, Kalanchiam Guna Pratheep, Yap Wayne Ming Quan, Kaliya-Perumal Arun-Kumar, Oh Jacob Yoong-Leong
Primary Institution: Tan Tock Seng Hospital, Singapore
Hypothesis
Does robotic spine surgery add value to surgical practice over navigation-based systems?
Conclusion
Robot-assisted spine surgery offers superior surgical efficiency and cost savings, especially with increased numbers of surgical levels.
Supporting Evidence
- Robot-assisted surgery showed a significant reduction in operative duration for one-level and two-level OLIF cases.
- Average time savings were 50 minutes for one-level and 62 minutes for two-level OLIF compared to navigation-based surgery.
- Cost savings of SGD 1500 per patient for two-level OLIF procedures were estimated.
Takeaway
Using robots in spine surgery can make the operation faster and save money for hospitals, which is good for patients and healthcare.
Methodology
A single-center, retrospective cohort study comparing robot-assisted and navigation-based surgeries for TLIF and OLIF.
Limitations
The study did not assess the accuracy of screw placement and focused only on surgeries involving up to two levels.
Participant Demographics
45 patients in the navigation group (38% males, 62% females) and 36 patients in the robotic group (53% males, 47% females).
Statistical Information
P-Value
0.0004 for one-level OLIF, 0.0354 for two-level OLIF
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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