骨科手术机器人辅助Wiltse入路椎弓根螺钉固定术对脊柱骨折合并脊髓损伤的近远期疗效分析

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中图分类号 R683.2 文献标识码 A 文章编号 2096-7721（2025）04-0552-06

Analysis of short-term and long-term efficacy orthopedic surgical robotassisted pedicle screw fixation via Wiltse approach in spinal fractures with spinal cord injury

XU Ziyu， LIU Junpeng， LI Meng

（DepartmentofOrthopedics，Beijing Chaoyang Hospital，Capital Medical University，Beijing1Ooo2o，China）

AbstractObjective：Toivestigatetesort-teandlong-termeficacyofTRobotortopedicsurgicalrobot-assistedpediclesrew fixationviaWiltseapproachinspinalfractures withspinalcordinjury.Methods：2Opatientswithspinalfracturesandspinalcord injurywhowereadmitedtoBeijingChaoyangHospital，CapitalMedicalUniversityfrom2O2OtoO23wereselectedanddividedinto thetraditionalsrgerygoupadteobasistedgroupuingtherymetod，wih6Oassinchgroup.Thetaditolugey groupunderwentonventalpediclesrefiationviaposteriormidlinapproach，whiletheobotaistedgoueceiedopedic surgicalrobotssteddicleaoviWlerocheoativecato，elactaccef postoperativeoplicas，etbralosisgleebralyosisetioateebralighoyateatd monthsaftersurgeryasellasJOAandSFscoeswerecomparedbetweethetwogroups.Results：Therobot-asstedgroupsowed lower perioperative indicators compared to the traditional surgery group （ ）.The screw placement accuracy was higher in the robotassisted group （ P <0.05），and the incidence of postoperative complicationswaslower （ P<0 . 0 5 ） .At3daysand3monthspostoperatively， thevertebralkyhosisangeinteobot-asistedgroupwaslowerthantatintetraditioalsurgerygoup，hileteverteralkyhosis correction rate and vertebral height recovery rate were higher （ P<0 . 0 5 . The JOA and SFI scores in the robot-assisted group were also higher than those in the traditional surgery group at3 days and 3 months after surgery （ P<0 . 0 5 ） . Conclusion： TiRobot？orthopedic surgical robot-asistedpediclesrefationviaWilseapproachhassignificantshortteandlong-tereficacyintreatingspinalfractureswith spinalcordinjury.Itanduceoperatietie，imizesugicaltraua，improvesrepacementaccuracylowerearlostoatie complications，enhance short-termand long-term fixation outcomes，and promote recovery of lumbar function. Key WordsOrthopedic Surgical Robot； Wiltse Approach； Pedicle ScrewFixation； Spinal Fracture； Spinal Cord Injury

脊柱骨折为胸腰椎常见骨折之一，多由高处坠落、车祸等暴力性损伤导致，且患者多合并脊髓损伤等并发症，轻者可随时间推移出现后凸畸形、腰痛等症状，重者可能出现功能障碍，甚至瘫痪[1-2]。（剩余8818字）