在胸脊椎手术中使用导航机器人的综合结果:PRoGRSS最终分析
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
概括
这项研究表明,在脊柱手术中集成的机器人导航实现了高精度,并改善了患者的治疗结果. 未来的机器人引导脊柱手术注册表 (PRoGRSS) 建立了安全性和效率的新基准.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 机器人手术 机器人手术
- 医疗技术整合 医疗技术整合
背景情况:
- 机器人引导和导航独立地提高了脊柱手术的准确性和最少的侵入性能力.
- 关于在脊椎外科手术中使用集成机器人辅助导航系统的结果的数据有限.
研究的目的:
- 为了评估手术,临床和患者报告的综合机器人辅助导航系统在胸脊椎手术的结果.
- 通过前性机器人引导脊椎外科手术注册表 (PRoGRSS) 建立导航式机器人脊椎手术的当代基准.
主要方法:
- 未来的多中心队列研究涉及657名成年患者接受导航式机器人胸椎手术.
- 数据收集包括手术指标,机器人相关数据,患者报告的结果 (ODI,PROMIS),并发症和资源利用.
- 分析了5166个计划中的螺丝,以确定精度,机器人放弃率,不良事件和12个月修复手术率.
主要成果:
- 螺丝放置精度高 (99.2%的位置,98.4%的精度).
- 机器人放弃率低 (0.6%) 和与机器人相关的不良事件 (0.3%).
- 患者报告结果 (ODI,PROMIS) 和有效利用资源的显著改善 (3天中位数LOS,88.4%在家出院).
结论:
- 集成导航机器人平台在脊椎外科手术中表现出高精度和安全性.
- 这些系统带来了大量的患者报告的结果改善和高效的资源利用.
- 这项PRoGRSS研究为导航式机器人脊椎手术的结果建立了基准.
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