摘要
由一名新闻记者-机器人与机器学习的工作人员新闻编辑每日新闻-关于机器人的新研究是一份报告的主旨。根据News Rx记者在纽约纽约市的新闻报道，研究表明：“与传统方法相比，利用三维成像和三维机械臂的机器人脊柱手术已被证明提高了椎弓根螺钉放置的准确性，尽管在Debat E下它的优越性仍然存在。很少有研究评估三维导航与机器人导航跨越腰椎节段的螺钉放置的准确性，"解决解剖学挑战,完善手术策略和病人安全."本研究旨在探讨3D导航系统和机械臂导航系统在不同腰椎水平上椎弓根螺钉放置的准确性，对前瞻性收集的登记样本进行回顾性回顾：在俯卧位进行椎弓根螺钉放置的融合手术患者，使用仅通过3D图像导航或机械臂引导措施：根据Gertzbein-Robbins分类，通过术后CT HY(CT)评估R放射学螺钉的准确性，特别关注不同腰椎水平的准确性。使用Ch I-squared检验/Fisher精确检验比较3D NA导航（Nav组）和机械臂导航（Robo组）中螺钉放置的准确性，并使用Cramer's V测量效应大小，包括总体和每个特定腰骶椎水平。共纳入321名患者（Nav，157；Robo，189），评估1210枚螺钉（Nav，Robo 559)。Robo组显示出明显较高的总体准确性(98.6 vs. 93.9%;P<0.001,V=0.25)。这种无断裂螺钉率的差异在3水平最显著(无断裂螺钉：Robo 91.3 vs. 57.8%,P<0.001,V=0.35)，其次是4(89.6 vs. 64.7%,P<0.001,V=0.28)和5(92.0 vs. 74.5%S1的SCR EW准确率在两组之间没有显著差异(81.1 vs. 72.0%,V=0.10)。本研究强调了在腰椎融合手术中，与3D导航相比，机械臂引导系统在椎弓根螺钉放置方面的准确性提高，特别是在3、4和5水平。
Abstract
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Robotics is the subjec t of a report. According to news reporting from New York City, New York, by News Rx journalists, research stated, "Robotic spine surgery, utilizing 3D imaging an d robotic arms, has been shown to improve the accuracy of pedicle screw placemen t compared to conventional methods, although its superiority remains under debat e. There are few studies evaluating the accuracy of 3D navigated versus robotic- guided screw placement across lumbar levels, addressing anatomical challenges to refine surgical strategies and patient safety." The news correspondents obtained a quote from the research from Hospital for Spe cial Surgery, "This study aims to investigate the pedicle screw placement accura cy between 3D navigation and robotic arm-guided systems across distinct lumbar l evels. A retrospective review of a prospectively collected registry SAMPLE: Pati ents undergoing fusion surgery with pedicle screw placement in the prone positio n, using either via 3D image navigation only or robotic arm guidance MEASURES: R adiographical screw accuracy was assessed by the postoperative computed tomograp hy (CT) according to the Gertzbein- Robbins classification, particularly focused on accuracy at different lumbar levels. Accuracy of screw placement in the 3D na vigation (Nav group) and robotic arm guidance (Robo group) was compared using Ch i-squared test/Fisher's exact test with effect size measured by Cramer's V, both overall and at each specific lumbosacral spinal level. A total of 321 patients were included (Nav, 157; Robo, 189) and evaluated 1210 screws (Nav, 651; Robo 55 9). The Robo group demonstrated significantly higher overall accuracy (98.6 vs. 93.9%; P<0.001, V=0.25). This difference of no breach screw rate was signified the most at the L3 level (No breach screw: Robo 91.3 vs. 57.8%, P<0.001, V=0.35) followed by L4 (89.6 vs. 64.7%, P<0.001, V=0.28), and L5 ( 92.0 vs. 74.5%, P<0.001, V=0.22). However, scr ew accuracy at S1 was not significant between the groups (81.1 vs. 72.0% , V=0.10). This study highlights the enhanced accuracy of robotic arm-guided sys tems compared to 3D navigation for pedicle screw placement in lumbar fusion surg eries, especially at the L3, L4, and L5 levels."
NETL
NSTL