{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:18:45Z","timestamp":1793726325921,"version":"4.6.1"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T00:00:00Z","timestamp":1665792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T00:00:00Z","timestamp":1665792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Traumatol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Robotic surgery (RS) may offer benefits compared with freehand\/conventional surgery (FS) in the treatment of patients with spinal disease. The aim of this study was to evaluate the efficacy and safety of RS versus FS in spinal fusion.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A systematic review and meta-analysis was performed. Data analysis and risk of bias assessment were analysed using REVMAN V5.3.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We found 11 randomised clinical trials involving 817 patients (FS: 408, RS: 409). The main diagnosis was degenerative spine disease. SpineAssist, Renaissance (Mazor Robotics), Tianji Robot and TiRobot robots (TINAVI Medical Technologies) were used. Pedicle screw placement within the safety zone (grades A\u2009+\u2009B according to the Gertzbein and Robbins scale) ranged from 93% to 100% in FS versus 85\u2013100% in RS (relative risk 1.01, 95% CI\u2009\u20091.00\u20131.03, <jats:italic>p<\/jats:italic>\u2009=\u20090.14). Regarding intervention time, the meta-analysis showed a mean difference (MD) of 6.45\u00a0min (95% CI\u2009\u2009\u221213.59 to 26.49, <jats:italic>p<\/jats:italic>\u2009=\u20090.53). Mean hospital stay was MD of \u22120.36\u00a0days (95% CI\u2009\u2009\u22121.03 to 0.31, <jats:italic>p<\/jats:italic>\u2009=\u20090.30) with no differences between groups. Contradictory results were found regarding fluoroscopy time, although there seems to be a lower radiation dose in RS versus FS (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Regarding safety, the studies included surgical revision frequency.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>No conclusive results were found suggesting that there are benefits in using RS over FS for spinal fusion. Further research with adequate patient selection, robot type and quality-of-life variables is needed.<\/jats:p>\n                <jats:p><jats:italic>Level of evidence<\/jats:italic>: level 1.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s10195-022-00669-0","type":"journal-article","created":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T12:02:59Z","timestamp":1665835379000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Efficacy and safety of robotic spine surgery: systematic review and meta-analysis"],"prefix":"10.1186","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6785-4447","authenticated-orcid":false,"given":"Setefilla","family":"Luengo-Matos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4358-6032","authenticated-orcid":false,"given":"Luis Mar\u00eda","family":"S\u00e1nchez-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7748-7529","authenticated-orcid":false,"given":"Ana Isabel","family":"Hijas-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7804-1449","authenticated-orcid":false,"given":"Esther Elena","family":"Garc\u00eda-Carpintero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Ballesteros-Mass\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4426-1128","authenticated-orcid":false,"given":"Mar","family":"Polo-deSantos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,15]]},"reference":[{"key":"669_CR1","unstructured":"Australian Safety and Efficacy Register of New Interventional Procedures-Surgical (ASERNIP-S). 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