Document Type
Article
Publication Date
3-13-2024
Abstract
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.
Recommended Citation
Heard, Jeremy; Lee, Yunsoo; D'Antonio, Nicholas D; Narayanan, Rajkishen; Lambrechts, Mark; Bodnar, John; Purtill, Caroline; Pezzulo, Joshua; Farronato, Dominic; Fitzgerald, Pat; Canseco, Jose; Kaye, Ian; Hilibrand, Alan; Vaccaro, Alex; Kepler, Christopher; and Schroeder, Gregory, "The Impact of Robotic Assistance for Lumbar Fusion Surgery on 90-Day Surgical Outcomes and 1-Year Revisions" (2024). Department of Orthopaedic Surgery Faculty Papers. Paper 219.
https://jdc.jefferson.edu/orthofp/219
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.
PubMed ID
English
Comments
This article is the author's final published version in Journal of Craniovertebral Junction and Spine, Volume 15, Issue 1, 2024, Pages 15 - 20.
The published version is available at https://doi.org/10.4103/jcvjs.jcvjs_145_23.
Copyright © 2024 Journal of Craniovertebral Junction and Spine