Multidimensional Efficacy Evaluation of Tianji Orthopedic Robot-Assisted Screw Placement Surgery and Traditional Open Surgery in the Treatment of Thoracic Fractures
- 1 Department of Spinal Surgery, Baise People’s Hospital (Southwest Hospital Affiliated to Youjiang Medical University for Nationalities), Baise, China
- 2 Department of Spinal Surgery, Baise People’s Hospital (Southwest Hospital Affiliated to Youjiang Medical University for Nationalities), Baise, China
- 3 Department of Spinal Surgery, Baise People’s Hospital (Southwest Hospital Affiliated to Youjiang Medical University for Nationalities), Baise, China
- 4 Department of Spinal Surgery, Baise People’s Hospital (Southwest Hospital Affiliated to Youjiang Medical University for Nationalities), Baise, China
- 5 Department of Spinal Surgery, Baise People’s Hospital (Southwest Hospital Affiliated to Youjiang Medical University for Nationalities), Baise, China
- 6 Graduate School of Youjiang Medical University for Nationalities, Baise, China
- 7 Department of Spinal Surgery, Baise People’s Hospital (Southwest Hospital Affiliated to Youjiang Medical University for Nationalities), Baise, China
- 8 Department of Laboratory Medicine, Guangxi - ASEAN Economic and Technological Development Zone People’s Hospital (Nanning Tenth People’s Hospital), Nanning, China
Abstract
Objective: To compare the clinical efficacy of Tianji orthopedic robot-assisted surgery and traditional open surgery in the treatment of thoracic fractures. Methods: 30 patients in the robot group and 25 patients in the open group were included. Baseline data such as age, BMI, and gender of the two groups were compared. The ODI scores, Cobb angles, anterior and posterior vertebral height ratios before and after surgery, as well as intraoperative blood loss, vertebral fracture healing time, postoperative hospital stay, screw accuracy rate and scores of the two groups were compared. Results: There was no significant difference in baseline data between the two groups of patients (P > 0.05). Before surgery, the ODI scores, Cobb angles, and anterior and posterior vertebral height ratios of the two groups were similar (P > 0.05). After surgery, the robot group was superior to the open group in terms of Cobb angle improvement (1-week postoperative review: t = 2.4880, P = 0.0080; last review: t = 3.3921, P = 0.0007). The intraoperative blood loss in the robot group was significantly less than that in the open group (t = 4.0903, P = 0.0001), and the vertebral fracture healing time was shorter (t = 4.4702, P = 0.0000). In terms of screw accuracy, the number of Grade A screws in the robot group was more than that in the open group ( χ 2 = 10.9506, P = 0.0009), the number of Grade B screws was less than that in the open group ( χ 2 = 9.9740, P = 0.0016), but the accuracy score was lower than that in the open group (t = 1.7832, P = 0.0401). Conclusion: Tianji orthopedic robot-assisted surgery has advantages over traditional open surgery in reducing intraoperative bleeding, shortening fracture healing time and improving some imaging indicators in the treatment of thoracic fractures, but there are differences in screw accuracy scores, providing a new reference for the clinical treatment of thoracic fractures.
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