Application of enhanced recovery after surgery in biplanar robot-assisted percutaneous sacroiliac joint screw fixation in the treatment of sacral fractures
ZHANG Xiaoli
ZHANG Yuanzhi
LIU Ya'ou
LIU Gang
ZHU Xiaojun
Abstract：Objective To evaluate the clinical effect of enhanced recovery after surgery(ERAS)in biplanar robot-assisted percutaneous sacroiliac screw fixation in the treatment of sacral fractures.Methods Twenty-four patients with longitudinal sacral fractures treated with biplanar robot-assisted percutaneous sacroiliac joint screw fixation in the Affiliated Hospital of Inner Mongolia Medical University from December 2018 to December 2020 were selected as the study objects,and were randomly divided into ERAS group and conventional group(n=12),in which conventional perioperative management mode was adopted in the conventional group,and the refined perioperative management plan of ERAS was implemented on the basis of routine management in the ERAS group.Perioperative indexes,imaging results and efficacy indexes of the two groups were compared and analyzed.Results Imaging examination(X-ray,CT scan)of screw placement in both groups achieved satisfactory results.Matta image scores were similar between the two groups(P＞0.05).The pain visual analog scale score at 2 d after surgery,Braden pressure ulcer score 3 d postoperatively,and Majeed score at the lastest follow-up in ERAS group were better,and the length of hospital stay was shorter than those in the conventional group,the differences between two groups were statistically significant(P＜0.05).Conclusions The application of ERAS concept in the perioperative management of robot-assisted percutaneous sacroiliac joint screw fixation has more effective pain relief,lower risk of pressure ulcers,shorter hospital stay,and is more conducive to the recovery of pelvic function of sacral fracture patients,which can be promoted and applied in robotic spinal surgery.
Keywords：Enhanced recovery after surgerySacrumFracturesSacroiliac jointRobotic surgical proceduresFracture fixationinternalBone screws
Publication Date：2024-02-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 26-31 )