التفاصيل البيبلوغرافية
| العنوان: |
The impact of robotic assistance for lumbar fusion surgery on 90-day surgical outcomes and 1-year revisions |
| المؤلفون: |
Jeremy C Heard, Yunsoo A Lee, Nicholas D D'Antonio, Rajkishen Narayanan, Mark J Lambrechts, John Bodnar, Caroline Purtill, Joshua D Pezzulo, Dominic Farronato, Pat Fitzgerald, Jose A Canseco, Ian David Kaye, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder |
| المصدر: |
Journal of Craniovertebral Junction and Spine, Vol 15, Iss 1, Pp 15-20 (2024) |
| بيانات النشر: |
Wolters Kluwer Medknow Publications, 2024. |
| سنة النشر: |
2024 |
| المجموعة: |
LCC:Diseases of the musculoskeletal system |
| مصطلحات موضوعية: |
complications, lumbar vertebrae, outcomes, robot-assisted surgery, robotic surgery, Diseases of the musculoskeletal system, RC925-935 |
| الوصف: |
Objectives: To evaluate the (1) 90-day surgical outcomes and (2) 1-year revision rate of robotic versus nonrobotic lumbar fusion surgery. Methods: Patients >18 years of age who underwent primary lumbar fusion surgery at our institution were identified and propensity-matched in a 1:1 fashion based on robotic assistance during surgery. Patient demographics, surgical characteristics, and surgical outcomes, including 90-day surgical complications and 1-year revisions, were collected. Multivariable regression analysis was performed. Significance was set to P < 0.05. Results: Four hundred and fifteen patients were identified as having robotic lumbar fusion and were matched to a control group. Bivariant analysis revealed no significant difference in total 90-day surgical complications (P = 0.193) or 1-year revisions (P = 0.178). The operative duration was longer in robotic surgery (287 + 123 vs. 205 + 88.3, P ≤ 0.001). Multivariable analysis revealed that robotic fusion was not a significant predictor of 90-day surgical complications (odds ratio [OR] = 0.76 [0.32–1.67], P = 0.499) or 1-year revisions (OR = 0.58 [0.28–1.18], P = 0.142). Other variables identified as the positive predictors of 1-year revisions included levels fused (OR = 1.26 [1.08–1.48], P = 0.004) and current smokers (OR = 3.51 [1.46–8.15], P = 0.004). Conclusion: Our study suggests that robotic-assisted and nonrobotic-assisted lumbar fusions are associated with a similar risk of 90-day surgical complications and 1-year revision rates; however, robotic surgery does increase time under anesthesia. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
0974-8237 |
| Relation: |
http://www.jcvjs.com/article.asp?issn=0974-8237;year=2024;volume=15;issue=1;spage=15;epage=20;aulast=Heard; https://doaj.org/toc/0974-8237 |
| DOI: |
10.4103/jcvjs.jcvjs_145_23 |
| URL الوصول: |
https://doaj.org/article/01b8c08f5bef4a0bac9acd89ce438e97 |
| رقم الانضمام: |
edsdoj.01b8c08f5bef4a0bac9acd89ce438e97 |
| قاعدة البيانات: |
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