J Robot Surg. 2025 Sep 10;19(1):589. doi: 10.1007/s11701-025-02776-6.
ABSTRACT
This study aims to systematically assess the therapeutic effectiveness of TiRobot-assisted percutaneous kyphoplasty or vertebroplasty in managing osteoporotic thoracolumbar compression fractures. Previous studies have suggested that TiRobot-assisted techniques outperform conventional manual procedures in treating this condition, but relevant conclusions remain controversial. A thorough literature retrieval was carried out across 4 major databases: PubMed, Embase, the Cochrane Library, and Web of Science. The final search was completed on July 20, 2025. After applying specific inclusion and exclusion benchmarks, seven eligible studies focusing on TiRobot-assisted interventions were ultimately selected for analysis. The outcome measures analyzed comprised operative time, length of hospital stay, fluoroscopy frequency, radiation dose, and volume of bone cement injection; vertebral height, kyphotic angle, and Cobb angle; VAS score and ODI; as well as incidence of bone cement leakage and refracture rate. The results indicated that the TiRobot group showed superior outcomes in terms of shorter hospital stays, reduced fluoroscopy times, and lower radiation exposure. Moreover, significant improvements were observed in kyphotic angle, VAS score, and ODI (MD < 0, P < 0.05). Additionally, this technique was linked to a lower incidence of complications such as cement leakage (OR < 1, P < 0.05). The results indicate that utilizing TiRobot-assisted techniques contributes to improved clinical outcomes, particularly in managing osteoporotic thoracolumbar compression fractures. This reinforces the potential for wider adoption of such procedures in clinical practice. The studies included in this research are all retrospective studies, and more randomized controlled trials are needed for validation in the future.
PMID:40931231 | DOI:10.1007/s11701-025-02776-6
