Robotic-assisted vs. fluoroscopy-assisted MIS-TLIF: improved screw accuracy and reduced early opioid use with comparable long-term outcomes - Takeaways - MDSpire
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Comparative Analysis of Robotic-Assisted and Fluoroscopy-Assisted MIS-TLIF: Enhanced Screw Placement Accuracy and Decreased Early Opioid Consumption with Similar Long-Term Results

  • 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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  • 1

    Robotic-assisted MIS-TLIF showed significantly improved pedicle screw accuracy compared to fluoroscopy-assisted techniques.

  • 2

    Inpatient opioid consumption was significantly lower in the robotic-assisted group during the first postoperative days.

  • 3

    Long-term opioid use at 3, 6, and 12 months was similar between robotic-assisted and fluoroscopy-assisted groups.

  • 4

    Both groups demonstrated significant improvement in patient-reported outcomes at 6 and 12 months, with no differences between techniques.

  • 5

    Operative time, length of stay, and complication rates were similar between robotic-assisted and fluoroscopy-assisted MIS-TLIF.

Original Source(s)

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

  • 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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