【摘要】 目的：评估机器人辅助经皮穿刺皮下经肌间置钉技术（RA-SIPST）微创治疗脊柱侧弯的可行性。方法：回顾性收集2018年8月—2021年12月于中国医科大学附属第一医院骨科行RA-SIPST技术治疗的14例脊柱侧弯患者的临床资料。通过三维C臂X线机评估导针及螺钉置入的准确性，随访期间评估脊柱侧弯的矫正效果，并记录与螺钉相关的并发症。随访时间为13～24个月。结果：共置入207枚导针，其中置针成功199枚，置针失败8枚，RA-SIPST置针准确率为96.14%。根据导针置入椎弓根螺钉178枚，置钉准确率为100%。所有患者术前主弯Cobb角为（67.38±26.11）°，术后矫正至（26.54±11.69）°，矫正率为（60.37±8.96）%。术后未发现与螺钉相关的并发症。结论：RA-SIPST是一种可行的脊柱侧弯微创手术治疗方法，为脊柱侧弯精准微创治疗提供了创新性技术选择。更多还原

【Abstract】 Objective: To evaluate the feasibility of robot-assisted subcutaneous intermuscular pedicle screw technique(RA-SIPST) for minimally invasive treatment of scoliosis. Methods: A retrospective analysis was conducted on 14 scoliosis patients who underwent RASIPST at the Department of Orthopedics, the First Affiliated Hospital of China Medical University from August 2018 to December 2021. Screw placement accuracy was assessed using 3D C-arm imaging, with correction outcomes and screw-related complications recorded during follow-up(13-24 months). Results: Of 207 guidewires inserted, 199 were successful, with a success rate of 96.14%. All 178 pedicle screws placed based on guidewires achieved 100% accuracy. The Cobb angle of the major curve improved from(67.38±26.11)° preoperatively to(26.54±11.69)° postoperatively, with the correction rate of(60.37±8.96)%. No screw-related complications were observed. Conclusion: RA-SIPST is a feasible minimally invasive approach for scoliosis correction, which provides an innovative technological option for precise minimally invasive treatment of scoliosis.更多还原