{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:34:06Z","timestamp":1784673246487,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,1,26]],"date-time":"2023-01-26T00:00:00Z","timestamp":1674691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to compare the intraoperative and postoperative outcomes between a robot\u2010assisted versus a navigated transpedicular fusion technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective analysis included patients who underwent transpedicular posterior fusion of the spine due to trauma, pyogenic spondylodiscitis and osteoporosis. Surgery was done either with a robot\u2010assisted or a percutaneous navigated transpedicular fusion technique. The outcome analysis included the duration of surgery, the radiation exposure, the postoperative screw position and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 60 patients were operated and 491 screws were analysed. No statistical difference was seen in the applied cumulative effective radiation dose per patient. The radiological assessment revealed a more accurate screw placement with robot assistance. A learning curve could be observed in robot\u2010assisted fusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Robot\u2010assisted and navigated transpedicular fusion techniques are both effective and safe. Robot\u2010assisted transpedicular spine fusion goes along with higher placement accuracy but its implementation needs an adequate learning curve.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2500","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T22:27:36Z","timestamp":1673994456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Robot\u2010assisted versus navigated transpedicular spine fusion: A comparative study"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1855-2212","authenticated-orcid":false,"given":"Alexander","family":"Romagna","sequence":"first","affiliation":[{"name":"Department of Neurosurgery M\u00fcnchen Klinik Bogenhausen  Munich Germany"},{"name":"Department of Neurosurgery University Hospital Salzburg Paracelsus Medical University Salzburg  Salzburg 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