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Related Experiment Video

Updated: Feb 1, 2026

A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
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Comprehensive Outcomes Following Navigated Robotics in Thoracolumbar Spine Surgery: The PRoGRSS Final Analysis.

Lindsay D Orosz1, Gregory T Poulter2, Colin M Haines3

  • 1Department of Research, The National Spine Health Foundation, Reston, VA, USA.

Global Spine Journal
|January 30, 2026
PubMed
Summary

This study shows integrated robotic navigation in spine surgery achieves high accuracy and improves patient outcomes. The Prospective Robotic-Guided Registry of Spine Surgery (PRoGRSS) establishes a new benchmark for safety and efficiency.

Keywords:
MISminimally invasive spine surgerynavigated roboticsnavigation-assisted spine surgeryrobotic spine surgerythoracolumbar fusion

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Area of Science:

  • Spine Surgery
  • Robotic Surgery
  • Medical Technology Integration

Background:

  • Robotic guidance and navigation independently enhance spine surgery accuracy and minimally invasive capabilities.
  • Limited data exists on the outcomes of integrated robotic-assisted navigation systems in spine surgery.

Purpose of the Study:

  • To evaluate surgical, clinical, and patient-reported outcomes of an integrated robotic-assisted navigation system in thoracolumbar spine surgery.
  • To establish a contemporary benchmark for navigated robotic spine surgery through the Prospective Robotic-Guided Registry of Spine Surgery (PRoGRSS).

Main Methods:

  • Prospective multicenter cohort study involving 657 adult patients undergoing navigated robotic thoracolumbar surgery.
  • Data collection included surgical metrics, robot-related data, patient-reported outcomes (ODI, PROMIS), complications, and resource utilization.
  • Analysis of 5166 planned screws for accuracy, robot abandonment rates, adverse events, and 12-month revision surgery rates.

Main Results:

  • High screw placement accuracy (99.2% placed, 98.4% accurate).
  • Low rates of robot abandonment (0.6%) and robot-related adverse events (0.3%).
  • Significant improvements in patient-reported outcomes (ODI, PROMIS) and efficient resource utilization (3-day median LOS, 88.4% discharged home).

Conclusions:

  • Integrated navigation-robotic platforms demonstrate high accuracy and safety in spine surgery.
  • These systems lead to substantial patient-reported outcome improvements and efficient resource utilization.
  • The PRoGRSS study establishes a benchmark for navigated robotic spine surgery outcomes.