机器人S2Alar上螺丝放置:比较传统和机器人辅助的最小侵入性技术
Balamurugan Thirugnanam1, Vidyadhara Srinivasa1,2, Abhishek Soni1
1Manipal Institute of Robotic Spine Surgery, Manipal Comprehensive Spine Care Centre, Manipal Hospital, Bangalore, India.
Journal of orthopaedics
|February 2, 2026
概括
与传统方法相比,机器人辅助的微创性S2AI螺丝放置显著减少了手术后的疼痛和住院时间. 这种技术提供了一个安全有效的替代方案,用于脊椎骨盆固定,确保可比的准确性.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 机器人在医学中的机器人
- 最少侵入性手术的方法
背景情况:
- 脊柱骨固定对于脊柱稳定至关重要.
- S2 Alar-Iliac (S2AI) 螺丝放置是脊椎骨盆固定的一个关键组成部分.
- 评估S2AI螺杆放置的新技术对于改善患者的治疗结果至关重要.
研究的目的:
- 为了比较S2AI螺丝安置中机器人引导的常规与机器人辅助的微创手术的临床,成像和周围手术结果.
- 评估机器人辅助的S2AI截面螺丝插入的有效性和安全性,与传统的机器人辅助方法相比.
主要方法:
- 一项前性比较研究包括了102名接受脊骨固定治疗的患者.
- 患者被分为两组:传统的机器人辅助S2AI螺丝插入 (56名患者) 和机器人辅助皮肤穿S2AI螺丝插入 (46名患者).
- 收集和分析了临床放射学参数,包括手术时间,血液损失,疼痛评分 (VAS),住院,螺丝精度和并发症.
主要成果:
- 这两种技术都证明了精确的螺丝放置,没有手术内不良事件.
- 机器人辅助皮肤穿刺组的术后VAS得分显着较低 (3.2比5.8,p < 0.0001),停留时间较短 (3.1比5.0天,p < 0.0001).
- 虽然机器人辅助组在手术期间流血,伤口并发症和手术时间较少,但这些差异在统计学上并不显著. 放射性参数和辐射剂量是可比的.
结论:
- 机器人辅助的最小侵入性S2AI螺丝放置是一种安全有效的替代传统开放技术.
- 这种方法提供了可比的放射学精度和生物力学稳定性.
- 关键的好处包括减少术后疼痛和更短的住院时间,增强患者的康复.
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