机器人辅助经皮椎弓根螺钉内固定术在胸腰椎骨折患者中的应用

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中图分类号 R687.3 文献标识码 A 文章编号 2096-7721（2025）11-1872-06

Application of robot-assisted percutaneous pedicle screw internal fixation in patients with thoracolumbar fractures

ZHANGBo， CHENDakang，FENG Xiaolin，LI Yigui，CHENHuitao， SHAO Guizhou （DepartmentofOrthopedics，ZijingHospitalAfiliatedtoWuhan UniversityofScienceandTechnoogy，Wuhan4306，China

AbstractObectiveToinvestigatethclinicalecacyofrobot-asstedpercutaneuspdiclesrewitealfixatiofororaclubar fractures.Methods：96patientswiththoracolumbarfracturesadmittdtoZijingHospitalAflatedtoWuhanUniversityofScienceand Technology fromJanuary2O22 toDecember 2O24 wereselected.，Patients were equalldivided intoanobservation group（ n =48） and a controlgroup（n=48）usingacomputerrandomalocatiosystem.Theobservationgroupunderwentrobot-assistedpercutaneouspedicle screwinteralfiatio，hiletheontrolgoupeceiedtraditioalC-afluorosopasstedpercutaneospediclesieal fixation.Postoperatiefollupasductedforothsrgicaliicators，puntureauacyagigomanicalpaes， qualityoflife，andcomplicationrateswerecomparedbetweenthetwogroups.Results：Teoperative timeandsingle-screwinsertion timeintheobsevationgouperesificantlysortertantoseinteontrolgoup，ithsigificantlyssraoperativebloodlosnd fewer number of fluoroscopy performed （ P <0.05）.Both groups had 288 screws inserted， with the observation group showing a significantly higher excellent rate ofscrewplacement（ P <0.05）.At6months postoperatively，the local kyphosis Cobb angle in the observation group was smaller than thatinthecontrolgroup，whilethepercentageofanteriorvertebralbodyheightandROMwere higher （P<0.05 ）.Compared with preoperativevalues，bothgroupsshowedsignificantimprovements inPCSscore，MCSscore，andSF-12totalscoreat6moths postoperatively （ P <0.05），and the above scores were significantly higher in the observation group than the control group （P<0.05） . The total complication rate in the observation group was significantly lower than that in the control group （P<0.05） . Conclusion： Robot-assisted percutaneouspediclesreintealfationfortoracolumbarfracturescaniprovepunctureauracyandurgicaleciencyace postoperativesinalomechanicalsabilityandjintmoblityducecomplicationisks，andimprovepatints’qualityfifeicis worthy of clinical promotion.

Key WordsOrthopedic Robot; Percutaneous Pedicle Screw Internal Fixation; Thoracolumbar Fracture

胸腰椎骨折作为脊柱创伤中最常见的类型之一，其治疗核心目标包括恢复脊柱稳定性、矫正畸形以及最大程度地保护神经功能[1-2]。（剩余10690字）