Abstract：
This study systemically reviewed the effects of robot-assisted percutaneous kyphoplasty (R-PKP) on the clinical outcomes and complications of patients with osteoporotic vertebral compression fracture (OVCF). The articles published from the establishment of the database to 19 April 2024 were searched in PubMed, The Cochrane Library, Web of Science, Embase, Scopus, China National Knowledge Infrastructure (CNKI), and Chinese biomedical literature service system (SinoMed). Meta-analysis was employed to evaluate the status of pain relief and complications between the control and R-PKP groups. Standardized mean difference (SMD) or mean difference (MD), risk ratios (RR), and 95% confidence interval (CI) were selected for analysis, and a common or random effect model was adopted to merge the data. Eight studies involving 773 patients with OCVFs were included. R-PKP could effectively Cobb\'s angles (MD = -1.00, 95% CI -1.68 to -0.33, P = 0.0034), and decrease the occurrence of cement leakage (RR = 0.36, 95% CI 0.21 to 0.60, P < 0.0001). However, there was no significant effect on the results of visual analog scale (MD = -0.09, 95% CI -0.20 to 0.02, P = 0.1145), fluoroscopic frequency (SMD = 5.31, 95% CI -7.24 to 17.86, P = 0.4072), and operation time (MD = -0.72, 95% CI -7.47 to 6.03, P = 0.8342). R-PKP could significantly correct vertebral angle and reduce cement leakage. Thus, R-PKP maybe an effective choice for correction vertebral Angle and reducing postoperative complications, while its impact on relieving pain, decreasing fluoroscopic frequency, and shortening operation time need further exploration.
摘要：
本研究系统综述了机器人辅助经皮椎体后凸成形术(R-PKP)对骨质疏松性椎体压缩骨折(OVCF)患者临床疗效及并发症的影响。从建立数据库到2024年4月19日发表的文章在PubMed中进行了搜索，科克伦图书馆,WebofScience,Embase,Scopus,中国国家知识基础设施(CNKI),和中国生物医学文献服务系统（SinoMed）。采用Meta分析评价对照组和R-PKP组疼痛缓解情况及并发症发生情况。标准化平均差(SMD)或平均差(MD)，风险比(RR)，选择95%置信区间(CI)进行分析，并采用公共或随机效应模型对数据进行合并。纳入了8项涉及773例OCVF患者的研究。R-PKP能有效地改善Cobb角(MD=-1.00,95%CI-1.68~-0.33,P=0.0034),降低水泥渗漏发生率(RR=0.36,95%CI0.21~0.60,P<0.0001)。然而,对视觉模拟量表结果无显著影响(MD=-0.09,95%CI-0.20~0.02,P=0.1145),透视频率（SMD=5.31，95%CI-7.24至17.86，P=0.4072），手术时间(MD=-0.72,95%CI-7.47~6.03,P=0.8342)。R-PKP可以明显纠正椎体角度，减少骨水泥渗漏。因此，R-PKP可能是矫正椎体角度、减少术后并发症的有效选择,虽然它对缓解疼痛的影响，减少透视频率，缩短运行时间需要进一步探索。
