Official Title: Enhancing Thoracolumbar Burst Fracture Treatment The Advantage of Robot-Assisted Posterior Fixation for Improved Reduction and Collapse Prevention
Status: COMPLETED
Status Verified Date: 2024-08
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The optimal treatment for neurologically intact thoracolumbar fractures remains controversial Percutaneous pedicle screw fixation PPSF has been proposed for these fractures however achieving satisfactory reduction can be challenging This study applied robot-assisted PPSF to enhance treatment outcomes
Detailed Description: The optimal treatment for neurologically intact thoracolumbar fractures remains controversial Percutaneous pedicle screw fixation PPSF has been proposed for these fractures however achieving satisfactory reduction can be challenging This study applied robot-assisted PPSF to enhance treatment outcomes The investigators retrospectively analyzed the medical records of 182 consecutive patients with thoracolumbar burst fractures treated with PPSF with n88 and without n94 robotic assistance at our hospital between April 2017 and June 2019 The participants were evaluated surgical time intraoperative bleeding radiation dosage accuracy of screw placement fractured vertebral height Cobbs angle surgery efficacy pain relief and limb function and implant failure to assess the potential advantages of robot-assisted PPSF Robot-assisted PPSF for thoracolumbar burst fractures reduces surgery time and intraoperative bleeding enhances screw placement accuracy and achieves better reduction compared to the free-hand technique This approach effectively prevents endplate collapse and recurrence of kyphosis post-surgery However functional recovery in the short term is similar between the two methods