Ho-Joong Kim1, Kyoung-Tak Kang2, Heoung-Jae Chun2, Ji Sup Hwang1, Bong-Soon Chang3, Choon-Ki Lee3, Jin S Yeom1. 1. Spine Center and Department of Orthopaedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Sungnam, Republic of Korea. 2. Department of Mechanical Engineering, Yonsei University, Seoul, Republic of Korea. 3. Department of Orthopaedic Surgery, Seoul National University College of Medicine and Seoul National University Hospital, Seoul, Republic of Korea.
Abstract
BACKGROUND: The purpose of this study was to compare the clinical outcome of surgery using robot-assisted posterior interbody fusion with that using freehand posterior interbody fusion in patients with degenerative spinal disease. METHODS:78 participants with degenerative spinal disease were randomly allocated (1:1) to the minimally invasive (MIS), posterior lumbar interbody fusion (Robot-PLIF) or conventional, freehand, open-approach, posterior lumbar interbody fusion (Freehand-PLIF). RESULTS: The baseline-adjusted scores on the Oswestry Disability Index (ODI) in both groups at 1 year after surgery were not different (P = 0.688). However, the decrease in disc height at the proximal adjacent segment was significantly less in the Robot-PLIF group than in the Freehand-PLIF group (P = 0.039). CONCLUSION: One-year surgical outcomes including Visual Analog Scale, ODI and Short Form-36 did not differ between the two groups. The disc height in the proximal adjacent segment was significantly less decreased in the Robot-PLIF group than in the Freehand-PLIF group.
RCT Entities:
BACKGROUND: The purpose of this study was to compare the clinical outcome of surgery using robot-assisted posterior interbody fusion with that using freehand posterior interbody fusion in patients with degenerative spinal disease. METHODS: 78 participants with degenerative spinal disease were randomly allocated (1:1) to the minimally invasive (MIS), posterior lumbar interbody fusion (Robot-PLIF) or conventional, freehand, open-approach, posterior lumbar interbody fusion (Freehand-PLIF). RESULTS: The baseline-adjusted scores on the Oswestry Disability Index (ODI) in both groups at 1 year after surgery were not different (P = 0.688). However, the decrease in disc height at the proximal adjacent segment was significantly less in the Robot-PLIF group than in the Freehand-PLIF group (P = 0.039). CONCLUSION: One-year surgical outcomes including Visual Analog Scale, ODI and Short Form-36 did not differ between the two groups. The disc height in the proximal adjacent segment was significantly less decreased in the Robot-PLIF group than in the Freehand-PLIF group.
Authors: Setefilla Luengo-Matos; Luis María Sánchez-Gómez; Ana Isabel Hijas-Gómez; Esther Elena García-Carpintero; Rafael Ballesteros-Massó; Mar Polo-deSantos Journal: J Orthop Traumatol Date: 2022-10-15
Authors: Nathan J Lee; Ian A Buchanan; Venkat Boddapati; Justin Mathew; Gerard Marciano; Paul J Park; Eric Leung; Avery L Buchholz; John Pollina; Ehsan Jazini; Colin Haines; Thomas C Schuler; Christopher R Good; Joseph M Lombardi; Ronald A Lehman Journal: J Orthop Surg Res Date: 2021-05-12 Impact factor: 2.359