在机器人和增强现实辅助脚螺杆放置中对近端面部关节违规行为的评估
Giuseppe Loggia1, Franziska C S Altorfer2, Marco D Burkhard1
1Department of Spine Surgery, Hospital for Special Surgery, New York, NY.
Clinical spine surgery
|January 19, 2026
概括
与增强现实 (AR) 指导相比,机器人辅助导航 (RAN) 在踏板螺丝放置时显示出较低的面部关节违规率. 两种系统都显示出安全性,没有严重的违规行为需要修复手术.
科学领域:
- 脊柱外科手术的技术 脊柱外科手术的技术
- 手术导航系统 手术导航系统
- 最少侵入性的脊柱手术
背景情况:
- 靠近面关节损伤 (FJV) 是已知的脚螺杆放置的并发症,其发生率差异很大.
- 机器人辅助技术可以降低FJV风险,但机器人辅助导航 (RAN) 和增强现实 (AR) 系统之间的直接比较是有限的.
研究的目的:
- 为了比较机器人辅助导航 (RAN) 和增强现实 (AR) 指导之间的腰部和骨脚螺丝放置中近端面关节违规 (FJV) 的发生率.
- 评估FJV的风险因素和脊椎水平的特定模式.
主要方法:
- 回顾性队列研究,分析RAN (Mazor X) 或AR指导 (Xvision) 脚螺杆放置患者的FJV术后成像.
- 两种导航系统之间的FJV率,人口特征和外科变量的比较.
主要成果:
- 总体而言,RAN的FJV率为5.8%,AR的9.4%.
- 在L5级别,违规率最高 (RAN:13.2%,AR:35.3%),但在统计学上并不显著.
- 大多数违规行为都是轻微的 (公园级I或II),没有观察到III级违规行为. 没有人口因素与FJV有显著的关联.
结论:
- 与增强现实 (AR) 指导相比,机器人辅助导航 (RAN) 在踏板螺丝放置中表现出近接面关节违规的发生率较低,特别是在L5.5处.
- 尽管观察到这一趋势,但差异在统计学上并不显著.
- 无论是RAN还是AR系统,都表现出了踏板螺丝放置的整体安全配置,没有严重违规需要修复手术.
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