天玑机器人在低龄儿童胸椎骨折治疗中的应用价值：病例报道
The Application Value of Tianji Robot in the Treatment of Thoracic Vertebral Fractures in Young Children: A Case Report
摘要: 机器人辅助技术在成人脊柱手术中应用广泛，但低龄儿童脊柱特殊的生理及解剖特性，使机器人技术应用的安全性及可行性，仍需进一步证实。本文通过报道一例5岁胸椎爆裂骨折患儿接受天玑机器人辅助下胸椎骨折切开复位内固定术的病例，初步展示了该技术在低龄患者高位胸椎骨折手术中应用的可行性，并获得了满意的早期临床效果，提示该技术在提升此类高风险手术安全性方面具有应用潜力。
Abstract: Robot-assisted technology is widely used in adult spinal surgery. However, the unique physiological and anatomical characteristics of the spine in young children mean that the safety and feasibility of robot technology application still need further verification. This article reports a case of a 5-year-old child with a thoracic burst fracture who underwent open reduction and internal fixation of the thoracic fracture assisted by the Tianji Robot. It initially demonstrates the feasibility of this technology in the surgery of upper thoracic fractures in young patients, and achieves satisfactory early clinical results, suggesting that this technology has application potential in improving the safety of such high-risk surgeries.
文章引用：刘雪, 王若义. 天玑机器人在低龄儿童胸椎骨折治疗中的应用价值：病例报道[J]. 临床医学进展, 2025, 15(11): 1869-1874. https://doi.org/10.12677/acm.2025.15113294

参考文献

[1] Castillo, J., Soufi, K., Zhou, J., Kulubya, E., Javidan, Y. and Ebinu, J.O. (2024) Minimally Invasive Techniques in the Surgical Management of Traumatic Pediatric Thoracolumbar Fractures. World Neurosurgery, 182, e292-e300. [Google Scholar] [CrossRef] [PubMed]
[2] Villeneuve, L.M., Lee, B., Cornwell, B., Nagarajan, M. and Smith, Z.A. (2022) Robot-assisted Thoracolumbar Fixation after Acute Spinal Trauma: A Case Series. Cureus, 14, e31832. [Google Scholar] [CrossRef] [PubMed]
[3] 龚光耀. 天玑骨科机器人辅助椎弓根螺钉内固定术的临床应用[J]. 基层医学论坛, 2024, 28(32): 33-36.
[4] 孟磊, 张贯林, 李东风, 等. “天玑”骨科手术机器人辅助下经皮椎弓根钉内固定治疗胸腰椎骨折的疗效观察[J]. 中国骨与关节损伤杂志, 2022, 37(7): 705-708.
[5] Lin, S., Hu, J., Wan, L., et al. (2020) Short-Term Effectiveness Comparison between Robotic-Guided Percutaneous Minimally Invasive Pedicle Screw Internal Fixation and Traditional Open Internal Fixation in Treatment of Thoracolumbar Fractures. Chinese Journal of Reparative and Reconstructive Surgery, 34, 76-82.
[6] 徐子彧, 刘俊鹏, 黎萌. 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[J]. 机器人外科学杂志(中英文), 2025, 6(4): 552-557.
[7] Liu, P., Hu, J., Zhang, W., Lin, S., Yu, Y., Tang, L., et al. (2025) Robot-Assisted Percutaneous Pedicle Screw Fixation in Thoracolumbar Burst Fractures: A Comparative Study. Scientific Reports, 15, Article No. 23175. [Google Scholar] [CrossRef] [PubMed]
[8] Hu, X., Lu, H., Zhou, X., Hu, M., Pan, X., Chen, B., et al. (2023) A Comparative Study of Robot-Assisted and Traditional Surgeries in the Treatment of Thoracolumbar Fractures Based on 1-Year Follow-Up Observation. Bio-Medical Materials and Engineering, 34, 375-383. [Google Scholar] [CrossRef] [PubMed]
[9] Ye, Z., Bai, J., Ye, Z., Zhao, X., Song, F., Zhou, Z., et al. (2024) Surgical Outcomes of Robotic-Assisted Percutaneous Fixation for Thoracolumbar Fractures in Patients with Ankylosing Spondylitis. BMC Musculoskeletal Disorders, 25, Article No. 484. [Google Scholar] [CrossRef] [PubMed]
[10] Liang, L., Zhao, C., Luo, L., Liu, L., Li, P., Gao, Y., et al. (2025) A Comparative Study of Robot-Assisted Navigation versus C-Arm Fluoroscopy in Percutaneous Pedicle Screw Fixation for the Treatment of Thoracolumbar Fractures. Scientific Reports, 15, Article No. 27214. [Google Scholar] [CrossRef] [PubMed]
[11] Soni, A., Vidyadhara, S., Balamurugan, T. and Kanhangad, M.P. (2025) Robotic-Assisted Kyphoplasty Demonstrates Superior Efficacy, Safety, and Procedural Efficiency Compared to Fluoroscopy-Guided Techniques: A Retrospective Analysis of 240 Patients. Journal of Robotic Surgery, 19, Article No. 343. [Google Scholar] [CrossRef] [PubMed]
[12] 张知理, 吴楠, 朱坤, 等. 天玑机器人与传统透视辅助经皮椎弓根钉内固定术治疗单节段胸腰椎骨折的对比研究[J]. 淮海医药, 2023, 41(6): 588-592.
[13] Lai, J., Tan, H., Deng, P., Wang, Y., Huang, Y., Feng, H., et al. (2025) Tirobot-Assisted Percutaneous Vertebroplasty in the Management of Middle and Upper Thoracic Osteoporotic Vertebral Compression Fracture. BMC Surgery, 25, Article No. 395. [Google Scholar] [CrossRef] [PubMed]
[14] Tian, Y., Zhang, J., Chen, H., et al. (2020) A Comparative Study of Spinal Robot-Assisted and Traditional Fluoroscopy-Assisted Percutaneous Reduction and Internal Fixation for Single-Level Thoracolumbar Fractures without Neurological Symptoms. Chinese Journal of Reparative and Reconstructive Surgery, 34, 69-75.
[15] 荣荣, 王诗军, 王宇, 等. 术中神经生理监测在脊柱畸形矫形手术中的应用进展[J]. 中华骨与关节外科杂志, 2018, 11(6): 460-465, 469.
[16] Staartjes, V.E., Molliqaj, G., van Kampen, P.M., Eversdijk, H.A.J., Amelot, A., Bettag, C., et al. (2019) The European Robotic Spinal Instrumentation (EUROSPIN) Study: Protocol for a Multi-Centre Prospective Observational Study of Pedicle Screw Revision Surgery after Robot-Guided, Navigated and Freehand Thoracolumbar Spinal Fusion. BMJ Open, 9, e030389. [Google Scholar] [CrossRef] [PubMed]
[17] Choucha, A., Travaglini, F., De Simone, M., Evin, M., Farah, K. and Fuentes, S. (2025) The Da Vinci Robot, a Promising Yet Underused Minimally Invasive Tool for Spine Surgery: A Scoping Review of Its Current Role and Limits. Neurochirurgie, 71, Article ID: 101624. [Google Scholar] [CrossRef] [PubMed]

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