Robotic-assisted vs. fluoroscopy-assisted MIS-TLIF: improved screw accuracy and reduced early opioid use with comparable long-term outcomes

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Robotic-assisted MIS-TLIF showed significantly improved pedicle screw accuracy compared to fluoroscopy-assisted techniques.
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Inpatient opioid consumption was significantly lower in the robotic-assisted group during the first postoperative days.
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Long-term opioid use at 3, 6, and 12 months was similar between robotic-assisted and fluoroscopy-assisted groups.
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Both groups demonstrated significant improvement in patient-reported outcomes at 6 and 12 months, with no differences between techniques.
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Operative time, length of stay, and complication rates were similar between robotic-assisted and fluoroscopy-assisted MIS-TLIF.

Frontiers In Surgery

by Daniel W. Griepp, Bryce Sarcar, Hepzibha Alexander, Rabia Ahmed, Andrew Beggs, Armando Bunjaj, Jeffrey P. Turnbull, Joshua Caskey, Shivum Desai, Heather Heitkotter, Daniel A. Carr
June 30, 2026

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