A comparative study of robot-assisted navigation versus C-arm fluoroscopy in percutaneous pedicle screw fixation for the treatment of thoracolumbar fractures

作者：Lichuan Liang, Zhao Chen, Lei Luo, Liehua Liu, Pei Li, Yongjian Gao, Qiang Zhou · 发表于：Scientific Reports · 年份：2025 · DOI：10.1038/s41598-025-12549-8 · 被引用次数：6 · 研究领域：Spinal Fractures and Fixation Techniques、Pelvic and Acetabular Injuries、Spine and Intervertebral Disc Pathology

To evaluate the clinical efficacy of ZhuZheng robot-assisted versus C-arm fluoroscopy-guided percutaneous pedicle screw fixation (PPSF) in the treatment of thoracolumbar burst fractures. A retrospective analysis was conducted on 86 patients with thoracolumbar burst fractures treated at our institution between March 2022 and August 2023. The cohort included 46 males and 40 females, aged 27 to 69 years. Patients were assigned to either the robot-assisted group (n = 41) or the conventional C-arm fluoroscopy group (n = 45) according to intraoperative navigation method. Baseline characteristics, including gender ratio and body mass index (BMI), were comparable between the two groups (P > 0.05). All patients underwent segmental fixation. Intraoperative parameters such as fluoroscopy frequency, operative time, and estimated blood loss were recorded. The accuracy of screw placement was assessed using postoperative CT at day 3 and graded according to the Gertzbein-Robbins scale. Pain was evaluated using the Visual Analogue Scale (VAS) preoperatively and at 1 day, 3 days, and 1 month postoperatively. Radiological assessments included Cobb angle and anterior vertebral height ratio at baseline, 3 days, 1 month, and 6 months postoperatively. Statistical analyses were performed using the t-test and Mann-Whitney U test. The robot-assisted group had significantly shorter operative time, reduced intraoperative blood loss, lower radiation dose, and fewer fluoroscopy exposures compared to the c...