Xuetao Wang
ABSTRACT
Objective: To investigate the clinical efficacy of orthopedic robotic-assisted unilateral biportal endoscopic lumbar vertebral fusion (UBE-TLIF) for the treatment of double-level lumbar spondylolisthesis. Method: A retrospective study of a patient with double-level lumbar spondylolisthesis treated with UBE-TLIF assisted by Tianji Orthopaedics robot. Oswestry Disability Index (ODI), Pain visual analogue scale (VAS), and serum creatine kinase (CK) were utilized to assess the efficacy of operation and peripheral muscle tissue injury before and after the procedure. The assessment of pedicle screw placement accuracy was conducted using the Gertzbein-Robbins criteria. Result: Compared with the preoperative, there was a pronounced enhancement in postoperative VAS scores and ODI indices., with less peripheral muscle tissue injury observed.Three days post-surgery, X-ray, CT, and MRI scans demonstrated precise positioning and effective internal fixation within the fusion cage. Conclusion: Robot-assisted UBE-TLIF surgery presents distinct advantages such as a notable fusion rate, remarkable precision, and enhanced safety.It is an effective surgical method for the treatment of bi-segmental lumbar spondylolisthesis.
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Index Terms
- Case report: Robot-assisted unilateral biportal endoscopic lumbar fusion for double-level lumbar spondylolisthesis
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