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Robotic-Assisted Pedicle Screw Placement in Spine Surgery

Robotic-Assisted Pedicle Screw Placement in Spine Surgery

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Overview

This prospective multicenter observational cohort study evaluates robotic-assisted pedicle screw placement compared with non-robotic-assisted techniques in spinal surgery. Primary objectives include screw placement accuracy, operative learning curve, and reoperation rate within 2 years.

Description

Pedicle screw fixation is widely used in spinal surgery. Screw misplacement may cause complications and reoperations. Robotic-assisted systems aim to improve accuracy and workflow; however, high-quality real-world evidence regarding long-term clinical outcomes and cost-effectiveness remains limited.

This nationwide cohort study includes consecutive patients undergoing spinal surgery with pedicle screws. Exposure is robotic-assisted versus non-robotic-assisted (navigation-assisted or freehand) screw placement. Data capture is made from registries, radiographs and hospital data. Follow-up is up to 2 years for the primary outcomes and up to 5 years for the secondary outcomes.

Eligibility

Inclusion Criteria:

  • Treatment with pedicle screws in the cervical, thoracic, lumbar spine and/or sacrum.
  • All ages and spinal diagnoses

Exclusion Criteria:

  • Treatment without pedicle screws

Study details
    Pedicle Screw Fixation of Spine

NCT07461636

Uppsala University

13 May 2026

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