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"Pratyush Shahi"

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Long-term Outcomes of Multilevel Anterior Cervical Osteotomy and Posterior Instrumentation for OPLL-Induced Myelopathy With Cervical Kyphosis
Neurospine. 2025;22(3):623-630.   Published online September 30, 2025
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Long-term Outcomes of Multilevel Anterior Cervical Osteotomy and Posterior Instrumentation for OPLL-Induced Myelopathy With Cervical Kyphosis
Neurospine. 2025;22(3):623-630.   Published online September 30, 2025
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Objective
To analyze long-term clinical and radiological outcomes after multilevel anterior osteotomy with posterior instrumentation in patients with ossification of posterior longitudinal ligament (OPLL)-induced myelopathy and cervical kyphosis.
Methods
Patients who underwent multilevel anterior osteotomy with posterior instrumentation for OPLL-induced myelopathy and cervical kyphosis and had a minimum of 5-year follow-up were included. Clinical outcomes (Japanese Orthopaedic Association score system for cervical myelopathy [C-JOA], 12-item Short Form health survey [SF-12], Neck Disability Index [NDI]) and radiological parameters (C2–7 lordosis, center of gravity of the head [CGH]-C7 sagittal vertical axis [SVA], T1 slope) were analyzed at the preoperative, immediate postoperative, and latest follow-up timepoints.
Results
Twenty-eight patients were included. The average follow-up period was 66.4 months. All clinical outcome parameters showed significant improvement. C-JOA, SF-12, and NDI showed significant improvement at latest follow-up (p<0.001). C2–7 lordosis increased significantly immediately postoperatively (-6.0°±10.4°) compared to preoperatively (+9.2°±9.6°), and was largely maintained at latest follow-up (-5.7°±9.4°). T1 slope significantly increased between the immediate postoperative timepoint (21.9°±7.7°) and latest follow-up (24.2°±9.5°) (p=0.046). CGH-C7 SVA significantly increased between the immediate postoperative timepoint (22.7±14.8 mm) and latest follow-up (32.2±22.6 mm) (p=0.046).
Conclusion
Multilevel anterior osteotomy with posterior instrumentation is a safe and effective surgical option for OPLL-induced myelopathy with kyphotic cervical alignment. Future studies are required to investigate the forward tilting of cervical spine over time after surgery.
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Transforaminal Endoscopic Thoracic Discectomy Is More Cost-Effective Than Microdiscectomy for Symptomatic Disc Herniations
Neurospine. 2025;22(1):118-127.   Published online March 31, 2025
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Transforaminal Endoscopic Thoracic Discectomy Is More Cost-Effective Than Microdiscectomy for Symptomatic Disc Herniations
Neurospine. 2025;22(1):118-127.   Published online March 31, 2025
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Objective
To analyze costs and cost-effectiveness of transforaminal endoscopic thoracic discectomy (TETD) for the treatment of symptomatic thoracic disc herniation (TDH) and compare it with open microdiscectomy (MD).
Methods
This retrospective cohort study included patients who underwent TETD or MD for symptomatic TDH and had a minimum follow-up of 1 year. Cost analysis included direct costs (primary and secondary hospital costs), indirect costs (lost wages due to work absence), total costs (direct + indirect), and cost-effectiveness (cost per quality-adjusted life year [QALY] and incremental cost-effectiveness ratio [ICER]). Clinical outcomes included patient-reported outcome measures (Oswestry Disability Index [ODI], 36-item Short Form health survey [SF-36]), QALY gained, and reoperation and readmission rates at 1 year. TETD and MD groups were compared for outcome measures.
Results
A total of 111 patients (57 TETD, 54 MD) were included. The direct ($6,270 TETD vs. $7,410 MD, p < 0.01), indirect costs ($1,250 TETD vs. $1,450 MD, p < 0.01), total costs ($7,520 TETD vs. $8,860 MD, p < 0.01), and cost per QALY ($31,333 TETD vs. $44,300 MD, p < 0.01) were significantly lower for TETD compared to MD. ICER of TETD was found to be -$33,500. At 1 year, TETD group showed significantly greater improvement in ODI (46% vs. 36%, p < 0.01) and SF-36 (64% vs. 53%, p < 0.01) and significantly greater QALY gained (0.24 vs. 0.2, p < 0.01) compared to MD group. No significant difference was found in reoperation and readmission rates.
Conclusion
TETD demonstrated significantly better clinical outcomes, lower overall costs, and better cost-effectiveness than MD in appropriately selected patients of symptomatic TDH.

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  • Editorial: Beyond the Portal Wars—Forging a New Consensus in Endoscopic Spine Surgery
    Jin-Sung Kim, Piya Chavalparit
    Global Spine Journal.2026; 16(1): 9.     CrossRef
  • Uniportal Endoscopic Surgery for Thoracolumbar Junction Disc Herniation in a Patient With Myelopathy: A Technical Note and Surgical Video
    Kang Suk Moon, Michel Gustavo Mondragón-Soto, Pedro Leonardo Villanueva-Solórzano
    Journal of Minimally Invasive Spine Surgery and Technique.2026; 11(1): 155.     CrossRef
  • 6,671 View
  • 192 Download
  • 2 Web of Science
  • 2 Crossref

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Quality of Spine Surgery Information on Social Media: A DISCERN Analysis of TikTok Videos
Neurospine. 2023;20(4):1443-1449.   Published online December 31, 2023
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Quality of Spine Surgery Information on Social Media: A DISCERN Analysis of TikTok Videos
Neurospine. 2023;20(4):1443-1449.   Published online December 31, 2023
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Objective
The use of social media applications to disseminate information has substantially risen in recent decades. Spine and back pain-related hashtags have garnered several billion views on TikTok. As such, these videos, which share experiences, offer entertainment, and educate users about spinal surgery, have become increasingly influential. Herein, we assess the quality of spine surgery content TikTok from providers and patients.
Methods
Fifty hashtags encompassing spine surgery (“#spinalfusion,” “#scoliosissurgery,” and “#spinaldecompression”) were searched using TikTok’s algorithm and included. Two independent reviewers rated the quality of each video via the DISCERN questionnaire. Video metadata (likes, shares, comments, views, length) were all collected; type of content creator (musculoskeletal, layperson) and content category (educational, patient experience, entertainment) were determined.
Results
The overall DISCERN score was, on average, 24.4. #Spinalfusion videos demonstrated greater engagement, higher average likes (p = 0.02), and more comments (p < 0.001) compared to #spinaldecompression and #scoliosissurgery. #Spinaldecompression had the highest DISCERN score (p < 0.001), likely explained by the higher percentage of videos that were educational (p < 0.001) and created by musculoskeletal (MSK) professionals (p < 0.001). Compared to laypersons, MSK professionals had significantly higher quality videos (p < 0.001). Similarly, the educational category demonstrated higher quality videos (p < 0.001). Video interaction trended lower with MSK videos and educational videos had the lowest interaction of the content categories (likes: p = 0.023, comments: p = 0.005).
Conclusion
The quality of spine surgery videos on TikTok is low. As the influence of the new social media landscape governs how the average person consumes information, MSK providers should participate in disseminating high-quality content.

Citations

Citations to this article as recorded by  Crossref logo
  • Mammograms in the media: a quality assessment of breast cancer screening videos on TikTok
    Imran Bitar, Bashar Jawich, Alexander Restum, Sidra Hasaba, Sayf Al-Katib, Kiran Nandalur
    Clinical Imaging.2026; 131: 110715.     CrossRef
  • Quality and reliability of knee osteoarthritis-related information on short video platforms in China: a multi-method cross-sectional study
    Xinwu Duan, Yan Wang, Tiancheng Ma, Mengfan Cai, Jianxiong Ma, Xinlong Ma
    BMC Public Health.2026;[Epub]     CrossRef
  • Swipe, watch, learn? An analysis of TikTok as a source of patient education on spondylolisthesis
    Celine Akta, Moses El Kayali, Lukas Schönnagel, Luis Bürck, Maximilian Muellner, Friederike Schömig, Matthias Pumberger, Tom Folkerts
    Brain and Spine.2026; 6: 105960.     CrossRef
  • Decoupled quality and readability in skin cancer education from large language models
    Yanping Zhang, Lei Wang, Weiqiang Zhang, Weifeng Lan
    Frontiers in Public Health.2026;[Epub]     CrossRef
  • Exploring the Quality of TikTok-Based Diabetes Self-Management Education in English and Spanish: A Digital Health Study
    Lisa Diaz, Dante Anthony Tolentino, Mary-Lynn Brecht, Wendie Robbins, Sarah E. Choi
    The Science of Diabetes Self-Management and Care.2026; 52(2): 150.     CrossRef
  • Science or hype? A cross-sectional analysis of the quality of Hodgkin lymphoma–related short videos
    Hao Sha, Xiaoan Zhang, Lihai Wu, Dan Zhou, Daqing Dang, Haohao Yin, Tianxin Huang, Pengfei Zhang
    DIGITAL HEALTH.2026;[Epub]     CrossRef
  • An Assessment of the Reliability of Rheumatoid Arthritis Videos on TikTok
    Simran Shamith, Anjali Pradhan, Mekhala G. Santebennur, Serena K. Kothari, Carolyn Giordano
    SurgiColl.2026;[Epub]     CrossRef
  • Quality and reliability assessment of myocardial infarction short videos on Bilibili and TikTok: A cross-sectional study
    Juan Tao, Yiming Lin, Kaidi Zhao, Haogeng Wang, Yang Shi
    DIGITAL HEALTH.2026;[Epub]     CrossRef
  • Digital awareness in spinal cord injury: content and sentiment analysis of the 100 most viewed YouTube videos
    Beyza Öztürk, Burak Tayyip Dede, Bülent Alyanak, Mustafa Hüseyin Temel, Mustafa Turgut Yıldızgören, Burcu Hazer, Fatih Bağcıer
    Spinal Cord.2026; 64(5): 416.     CrossRef
  • Quality and Reliability of Semaglutide–Related Short Videos on TikTok and Bilibili
    Junhao Zeng, Chenyang Leng, Xiufang Chen, Rong Tang, Qianrong Wang, Lingbo Zhang, Yifei Liu, Fansu Huang, Xia Li
    American Journal of Health Promotion.2026;[Epub]     CrossRef
  • The Readability Paradox and Illusion of Quality in AI-Generated Spine Surgery Patient Education: A Systematic Review and Exploratory Meta-Analysis
    Astrid Ayu Alaika, Ririn Kartika Novitasari, Sugiharto
    Health Policy and Technology.2026; : 101244.     CrossRef
  • Quality of information and social norms in Spanish-speaking TikTok videos as levers of commercial practices: The case of semaglutide
    Paola Abril Campos-Rivera, Berenice Alfaro-Ponce, Michelle Ramírez-Pérez, Daniel Bernal-Serrano, David Contreras-Loya, Veronika J. Wirtz
    Social Science & Medicine.2025; 366: 117646.     CrossRef
  • Evaluating AI-generated patient education materials for spinal surgeries: Comparative analysis of readability and DISCERN quality across ChatGPT and deepseek models
    Mi Zhou, Yun Pan, Yuye Zhang, Xiaomei Song, Youbin Zhou
    International Journal of Medical Informatics.2025; 198: 105871.     CrossRef
  • Exploring TikTok's influence on surgical patient education
    Sai Sandeep Singh Rowdhwal, Michael El Boghdady
    The Surgeon.2025; 23(5): 265.     CrossRef
  • Cross-language insights: Comparing Spanish and English-language cervical cancer content on TikTok
    Jessica Velasquez, Maryam Mohammed-Norgan, Alexandra Scheiber, Julia Chalif, Anna Gonzalez, Danielle Glassman, Molly Morton, David M. O'Malley, Laura M. Chambers
    Gynecologic Oncology.2025; 194: 131.     CrossRef
  • Fake News? Quantifying the Prevalence of Misinformation Related to Scoliosis on the TikTok Social Media Platform
    Banahene Glover, Anne-Marie Datcu, Macy Meyer, Emily Lachmann, Amy McIntosh, Megan Johnson, Jaysson T. Brooks
    Journal of the Pediatric Orthopaedic Society of North America.2025; 12: 100207.     CrossRef
  • Evaluating the Content and Quality of Videos Related to Hypertrophic Scarring on TikTok in China: Cross-Sectional Study
    Jiangkun Wang, Kai Xu, Juanjuan Wu, Wen Liang, Weiming Qiu, Song Wang
    JMIR Infodemiology.2025; 5: e64792.     CrossRef
  • Social media best practices for the spine care professional
    Zachary A. Cupler, Andrew Trontis, Brandon Lucke-Wold, Samuel M. Schut, Khoi D. Than, James E. Eubanks, Robert J. Butler, Reem Elwy, David Gendelberg
    North American Spine Society Journal (NASSJ).2025; 23: 100748.     CrossRef
  • Perceived Accuracy of Spine-Related Medical Advice From ChatGPT, TikTok, and the North American Spine Society Clinical Practice Guidelines
    Divya Bhatia, Michael S Kim, Melissa Romoff, Asha Timm, Emily Mills, Hao-Hua Wu, Sohaib Hashmi, Don Park, Yu-Po Lee
    Cureus.2025;[Epub]     CrossRef
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    Mingyang Qian, Wei Jiang, Qingsong Zou, Wenlin Cheng, Mengyi Xu, Li Hua, Jiangming Yu
    Patient Preference and Adherence.2025; Volume 19: 2609.     CrossRef
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    Levi M. Travis, Jacob Jahn, Kristen K. Dean, Seth D. Dodds
    HAND.2025;[Epub]     CrossRef
  • Quality, Reliability and Accuracy of Hyperthyroidism‐Related Content on Social Media Platform TikTok
    Aayush Shah, Raika Bourmand, Freddy Albaladejo, Karthik Jarugula, Sofia Olsson, Zainab Farzal, Viraj Shah
    Endocrinology, Diabetes & Metabolism.2025;[Epub]     CrossRef
  • Evaluating the Quality of Health Information: Comparison of Human and Artificial Intelligence
    Dhruva Arcot, Neha Pondicherry, Subhankar Chakraborty
    Neurogastroenterology & Motility.2025;[Epub]     CrossRef
  • Quality Assessment of Health Information on Social Media During a Public Health Crisis: Infodemiology Study
    Rozita Haghighi, Mohsen Farhadloo
    JMIR Infodemiology.2025; 5: e70756.     CrossRef
  • The Implementation of Social Media in Neurosurgery: A Systematic Review of the Literature
    Elisa Colombo, Lara Maria Höbner, Valerie Blom, Inka Berglar, Aron Alakmeh, Daniel de Wilde, Victor Gabriel El-Hajj, Luca Regli, Carlo Serra, Victor E. Staartjes, Gustav Burström
    Acta Neurochirurgica.2025;[Epub]     CrossRef
  • Descriptive Analysis and Quality Assessment of Colorectal Cancer Videos on TikTok
    Lisa Diaz, Kerri Hensler, Paula Cox-North
    Gastroenterology Nursing.2025; 48(6): 436.     CrossRef
  • Endoscopic Spine Surgery on Instagram: Analysis of Content and Engagement
    Tara Shenker, Augustus J Rush III, Peter B Derman, Alexander M Satin, Mary P Rogers-LaVanne
    Cureus.2024;[Epub]     CrossRef
  • Assessing #dentist Content on TikTok: Engagement, Quality, and Implications for Oral Health Care
    Reeva Darren Gestre, Jean Marie Star
    Journal of the California Dental Association.2024;[Epub]     CrossRef
  • Research on Health Topics Communicated through TikTok: A Systematic Review of the Literature
    Emily A. Sattora, Brian C. Ganeles, Morgan E. Pierce, Roger Wong
    Journalism and Media.2024; 5(3): 1395.     CrossRef
  • Factors Influencing Optimal Bracing Compliance in Adolescent Idiopathic Scoliosis
    Tomoyuki Asada, Toshiaki Kotani, Tsuyoshi Sakuma, Yasushi Iijima, Kotaro Sakashita, Yosuke Ogata, Tsutomu Akazawa, Shohei Minami, Seiji Ohtori, Masao Koda, Masashi Yamazaki
    Spine.2024; 49(24): 1708.     CrossRef
  • 5,478 View
  • 158 Download
  • 28 Web of Science
  • 30 Crossref

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Severe Obesity Is an Independent Risk Factor of Early Readmission and Nonhome Discharge After Cervical Disc Replacement
Neurospine. 2023;20(3):890-898.   Published online September 30, 2023
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Severe Obesity Is an Independent Risk Factor of Early Readmission and Nonhome Discharge After Cervical Disc Replacement
Neurospine. 2023;20(3):890-898.   Published online September 30, 2023
Close
Objective
Despite growing interest in cervical disc replacement (CDR) for conditions such as cervical radiculopathy, limited data exists describing the impact of obesity on early postoperative outcomes and complications. These data are especially important as nearly half of the adult population in the United States is expected to become obese (body mass index [BMI] ≥ 30 kg/m2) by 2030. The goal of this study was to compare the demographics, perioperative variables, and complication rates following CDR.
Methods
The 2005–2020 American College of Surgeons National Surgical Quality Improvement Program datasets were queried for patients who underwent primary 1- or 2-level CDR. Patients were divided into 3 cohorts: Nonobese (BMI: 18.5–29.9 kg/m2), Obese class-I (BMI: 30–34.9 kg/m2), Obese class-II/III (BMI ≥ 35 kg/m2). Morbidity was defined as the presence of any complication within 30 days postoperatively. Rates of 30-day readmission, reoperation, morbidity, individual complications, length of stay, frequency of nonhome discharge disposition were collected.
Results
A total of 5,397 patients were included for analysis: 3,130 were nonobese, 1,348 were obese class I, and 919 were obese class II/III. There were more 2-level CDRs performed in the class II/III cohort compared to the nonobese group (25.7% vs. 21.5%, respectively; p < 0.05). Class-II/III had more nonhome discharges than class I and nonobese (2.1% vs. 0.5% vs. 0.7%, respectively; p < 0.001). Readmission rates differed as well (nonobese: 0.5%, class I: 1.1%, class II/III: 2.1%; p < 0.001) with pairwise significance between class II/II and nonobese. Class II/III obesity was an independent risk factor for both readmission (odds ratio [OR], 3.32; p = 0.002) and nonhome discharge (OR, 2.51; p = 0.02). Neither 30-day reoperation nor morbidity rates demonstrated significance. No mortalities were reported.
Conclusion
Although obese class-II/III were risk factors for 30-day readmission and nonhome discharge, there was no significant difference in reoperation rates or morbidity. CDR procedures can continue to be safely preformed independent of obesity status.

Citations

Citations to this article as recorded by  Crossref logo
  • The Impact of Obesity on Spine Surgery Operative Time: A Quantitative Analysis
    Haseeb E. Goheer, Mina Botros, Andrew R. Leggett, Gabriel Ramirez, Ram Haddas, Robert W. Molinari, Varun Puvanesarajah
    Global Spine Journal.2026; 16(2): 975.     CrossRef
  • Preoperative Disability Influences Effectiveness of Minimal Clinically Important Difference and Patient Acceptable Symptom State in Predicting Patient Improvement Following Cervical Spine Surgery
    Pratyush Shahi, Omri Maayan, Tejas Subramanian, Nishtha Singh, Sumedha Singh, Kasra Araghi, Olivia Tuma, Tomoyuki Asada, Maximilian Korsun, Evan Sheha, James Dowdell, Sheeraz A. Qureshi, Sravisht Iyer
    Global Spine Journal.2025; 15(2): 884.     CrossRef
  • Obesity is an independent risk factor for postoperative pulmonary embolism after anterior cervical discectomy and fusion
    Haseeb E. Goheer, Christopher G. Hendrix, Linsen T. Samuel, Alden H. Newcomb, Jonathan J. Carmouche
    The Spine Journal.2025; 25(2): 299.     CrossRef
  • Cervical disc arthroplasty is safe across various obesity levels
    Manjot Singh, Benjamin Chanes, Mariah Balmaceno-Criss, Alan H. Daniels, Andrew S Zhang
    The Spine Journal.2025; 25(4): 756.     CrossRef
  • Class 2/3 obesity leads to worse outcomes following minimally invasive transforaminal lumbar interbody fusion
    Pratyush Shahi, Tejas Subramanian, Kasra Araghi, Maximilian K. Korsun, Sumedha Singh, Nishtha Singh, Olivia C. Tuma, Tomoyuki Asada, Annika Bay, Eric R. Zhao, Adin M. Ehrlich, Sereen Halayqeh, Tarek Harhash, Andrea Pezzi, Adrian Lui, Evan D. Sheha, James
    The Spine Journal.2025; 25(9): 1985.     CrossRef
  • Morbidly Obese Patients Have Similar Clinical Outcomes and Recovery Kinetics After Minimally Invasive Decompression
    Pratyush Shahi, Tejas Subramanian, Sumedha Singh, Kasra Araghi, Tomoyuki Asada, Maximilian Korsun, Nishtha Singh, Olivia Tuma, Chad Simon, Avani Vaishnav, Eric Mai, Joshua Zhang, Cole Kwas, Myles Allen, Eric Kim, Annika Heuer, Evan Sheha, James Dowdell, S
    Spine.2025; 50(5): 318.     CrossRef
  • Risk Factors of 90-Day Unplanned Readmission After Lumbar Spine Surgery for Degenerative Lumbar Disk Disease: A Systematic Review and Meta-Analysis
    Jeong In Seol, Jeong Hoon Yoo, Hyeon Gyu Sung, Hyun Ho Park, Sung Hyeon Noh
    Neurosurgery.2025; 97(4): 908.     CrossRef
  • Single-level anterior cervical discectomy and fusion is associated with higher nonroutine discharge rates compared to cervical disc arthroplasty in obese patients
    Paul G. Mastrokostas, Luke B. Schwartz, Eli Berglas, Aaron B. Lavi, Leonidas E. Mastrokostas, Jonathan Dalton, Christopher K. Kepler, Arya Varthi, Jad Bou Monsef, Afshin E. Razi, Mitchell K. Ng
    Journal of Craniovertebral Junction and Spine.2025; 16(2): 205.     CrossRef
  • Thirty-day unplanned readmission rates and risk factors in spine surgery: a systematic review and meta-analysis
    Ya-Nan Gong, Mei-Qing Lin, Bi-Zhen Chen, Chen Wu, Qiu-Ling Zheng
    Journal of Orthopaedic Surgery and Research.2025;[Epub]     CrossRef
  • Anterior cervical surgery for morbidly obese patients should be performed in-hospitals
    Nancy E. Epstein, Marc A. Agulnick
    Surgical Neurology International.2024; 15: 2.     CrossRef
  • Practical Answers to Frequently Asked Questions in Anterior Cervical Spine Surgery for Degenerative Conditions
    Tejas Subramanian, Austin Kaidi, Pratyush Shahi, Tomoyuki Asada, Takashi Hirase, Avani Vaishnav, Omri Maayan, Troy B. Amen, Kasra Araghi, Chad Z. Simon, Eric Mai, Olivia C. Tuma, Ashley Yeo Eun Kim, Nishtha Singh, Maximillian K. Korsun, Joshua Zhang, Myle
    Journal of the American Academy of Orthopaedic Surgeons.2024; 32(18): e919.     CrossRef
  • Predictors of Nonhome Discharge After Cervical Disc Replacement
    Tejas Subramanian, Junho Song, Yeo Eun Kim, Omri Maayan, Robert Kamil, Pratyush Shahi, Daniel Shinn, Sidhant Dalal, Kasra Araghi, Tomoyuki Asada, Troy B. Amen, Evan Sheha, James Dowdell, Sheeraz Qureshi, Sravisht Iyer
    Clinical Spine Surgery.2024; 37(7): E324.     CrossRef
  • Beyond the Label: Extended Indications for Cervical Disc Arthroplasty
    Annika Bay, Eric R. Zhao, Cole T. Kwas, Chad Z. Simon, Tomoyuki Asada, Sheeraz A. Qureshi
    Contemporary Spine Surgery.2024; 25(12): 1.     CrossRef
  • 4,648 View
  • 130 Download
  • 12 Web of Science
  • 13 Crossref

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Floor-Mounted Robotic Pedicle Screw Placement in Lumbar Spine Surgery: An Analysis of 1,050 Screws
Neurospine. 2023;20(2):577-586.   Published online June 30, 2023
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Floor-Mounted Robotic Pedicle Screw Placement in Lumbar Spine Surgery: An Analysis of 1,050 Screws
Neurospine. 2023;20(2):577-586.   Published online June 30, 2023
Close
Objective
To analyze the usage of floor-mounted robot in minimally invasive lumbar fusion.
Methods
Patients who underwent minimally invasive lumbar fusion for degenerative pathology using floor-mounted robot (ExcelsiusGPS) were included. Pedicle screw accuracy, proximal level violation rate, pedicle screw size, screw-related complications, and robot abandonment rate were analyzed.
Results
Two hundred twenty-nine patients were included. Most surgeries were primary single-level fusion. Sixty-five percent of surgeries had intraoperative computed tomography (CT) workflow, 35% had preoperative CT workflow. Sixty-six percent were transforaminal lumbar interbody fusion, 16% were lateral, 8% were anterior, and 10% were a combined approach. A total of 1,050 screws were placed with robotic assistance (85% in prone position, 15% in lateral position). Postoperative CT scan was available for 80 patients (419 screws). Overall pedicle screw accuracy rate was 96.4% (prone, 96.7%; lateral, 94.2%; primary, 96.7%; revision, 95.3%). Overall poor screw placement rate was 2.8% (prone, 2.7%; lateral, 3.8%; primary, 2.7%; revision, 3.5%). Overall proximal facet and endplate violation rates were 0.4% and 0.9%. Average diameter and length of pedicle screws were 7.1 mm and 47.7 mm. Screw revision had to be done for 1 screw (0.1%). Use of the robot had to be aborted in 2 cases (0.8%).
Conclusion
Usage of floor-mounted robotics for the placement of lumbar pedicle screws leads to excellent accuracy, large screw size, and negligible screw-related complications. It does so for screw placement in prone/lateral position and primary/revision surgery alike with negligible robot abandonment rates.

Citations

Citations to this article as recorded by  Crossref logo
  • Response to the letter to the editor: Beyond fixation: computational and motion-integrated perspectives on pinless robot-assisted spine surgery
    Abhishek Soni, Vidyadhara Srinivasa, Balamurugan Thirugnanam, Madhava Pai Kanhangad, Akhil Xavier Joseph
    Asian Spine Journal.2026; 20(1): 216.     CrossRef
  • Temporal Trends of Improvement After Minimally Invasive Transforaminal Lumbar Interbody Fusion
    Pratyush Shahi, Tejas Subramanian, Olivia Tuma, Sumedha Singh, Kasra Araghi, Tomoyuki Asada, Maximilian Korsun, Nishtha Singh, Chad Simon, Avani Vaishnav, Eric Mai, Joshua Zhang, Cole Kwas, Myles Allen, Eric Kim, Annika Heuer, Evan Sheha, James Dowdell, S
    Spine.2025; 50(2): 81.     CrossRef
  • Robotic spine surgery: Technical note and descriptive analysis of the first 40 cases
    Víctor Rodríguez-Domínguez, Jorge Bedia Cadelo, Javier Giner García, María Luisa Gandía González, Catalina Vivancos Sánchez, Alberto Isla Guerrero
    Neurocirugía (English Edition).2025; 36(3): 169.     CrossRef
  • Cirugía robótica de columna vertebral: nota técnica y análisis descriptivo de los primeros 40 casos
    Víctor Rodríguez-Domínguez, Jorge Bedia Cadelo, Javier Giner García, María Luisa Gandía González, Catalina Vivancos Sánchez, Alberto Isla Guerrero
    Neurocirugía.2025; 36(3): 169.     CrossRef
  • Beyond Pedicle Screw Placement: Future Minimally Invasive Applications of Robotics in Spine Surgery
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