Efficacy comparison of robotic-assisted versus manual percutaneous vertebroplasty for vertebral compression fractures
10.3969/j.issn.1006-7795.2025.05.002
- VernacularTitle:机器人辅助与徒手经皮椎体成形术治疗椎体压缩骨折的疗效比较
- Author:
Shuangpeng JIANG
1
;
Yuyang HAN
1
;
Jiaxi WANG
1
;
Gang ZHANG
1
;
Chao DONG
1
;
Hongxing SONG
1
;
Qi YAO
1
Author Information
1. 首都医科大学附属北京世纪坛医院关节外科骨肿瘤科,北京 100038
- Publication Type:Journal Article
- Keywords:
osteoporotic vertebral compression fractures;
percutaneous vertebroplasty;
surgical robot;
needle puncture;
fluoroscopy;
Visual Analogue Scale;
Oswestry Disability Index
- From:
Journal of Capital Medical University
2025;46(5):770-776
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical outcomes of robot-assisted percutaneous vertebroplasty(PVP)versus manual PVP in treating osteoporotic vertebral compression fractures(OVCF),and explore the advantages of robotic assistance for clinical decision-making.Methods Patients who underwent single-level PVP for OVCF at the Department of Joint Surgery and Bone Tumor,Beijing Shijitan Hospital,Capital Medical University,between April 2021 and April 2025 were enrolled.The robot group(n=29)and manual PVP group(control,n=88)were followed-up for 1 month.Parameters compared included:total hospital stay,operative time,cement volume,cement leakage rate,nerve injury rate,intraoperative fluoroscopy number,first-attempt success rate of puncture,postoperative versus preoperative anterior vertebral height difference,Visual Analogue Scale(VAS)and Oswestry Disability Index(ODI)scores preoperatively,at 1-day and 1-month postoperatively.Results No statistically significant differences existed in baseline characteristics(gender,age,fracture-to-surgery interval,and fracture distribution)between groups(P>0.05).The number of intraoperative fluoroscopy times and the ODI index on the first day after surgery in the robot group were significantly lower than those in the control group(P<0.05),and the first-attempt success rate of puncture was significantly higher than that in the control group(P<0.05).There were no statistically significant differences in the other parameters between the two groups(P>0.05).Conclusion Both robot-assisted PVP and manual PVP have good clinical efficacy in the treatment of OVCF.Robot-assisted PVP can reduce the number of intraoperative fluoroscopy times and may have more advantages in improving the first-attempt success rate of puncture and early postoperative lumbar function.However,its reliability needs to be further verified through large-sample randomized controlled studies with multivariate analysis.
