To explore the clinic application of two operative methods between orthopaedic robot systems (TiRobot) assisted and convention freehand pedicle puncture surgical procedures in percutaneous kyphoplasty (PKP). Twenty-one patients with osteoporotic vertebral compression fractures(OVCF)who underwent PKP by TiRobot-assisted in 2021 are compared to the ones by freehand in 2020.The operative intraoperative fluoroscopy frequency,pedicle puncture frequency, time, hospital length of stay and expense,postoperative recovery of the two group were recorded and compared between the two groups. The number of intraoperative fluoroscopy in the TiRobot group (RG) and the freehand group (HG) were 7.8±1.2 (RG) Vs 14.4±0.8 (HG),the number of pedicle puncture were 2.2±0.6(RG)Vs 9.4±1.1(HG),the operative time was (96.6±16.7)min (RG) Vs (69.2±12.7)min (HG), thel expenses were ¥30577.68±3542.18 (RG) Vs ¥25933.38±2735.24 (HG).These differences between the two groups were statistically significant (P<0.001).The hospital stay time was (5.7±2.3)d (RG) Vs (5.0±2.4)d (HG), the VAS score at 3 days after operation were 0.2±0.5 (RG) Vs 0.2±0.4 (HG) and the ODI index (%) at last follow-up were 4.15±4.0 (RG) VS 6.33±8.13 (HG).The above data shows no statistical difference between the two groups (P>0.05). The orthopaedic robot systems (TiRobot) has a great of potential. Although it can prolong the operation time and increase the hospitalization cost to a certain extent, it can reduce the number of intraoperative fluoroscopy, improve the accuracy of pedicle puncture, and significantly relieve the back pain and improve quality of life in a long time of patients just like the traditional freehand surgery.

Hao Deng. The Effect of TiRobot Assisted Percutaneous Kyphoplasty in the Osteoporotic Vertebral Compression Fractures. Academic Journal of Medicine & Health Sciences (2024), Vol. 5, Issue 8: 48-55. https://doi.org/10.25236/AJMHS.2024.050808.

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