Date of Award

Spring 5-19-2023

Document Type

Open Access Thesis

Degree Name

Master of Medical Science (MMSc)

First Advisor

Peter Whang, MD, FACS


Adult degenerative scoliosis is characterized by the side-to-side curvature of the spine due to the degeneration of facet joints and intervertebral discs. Life-limiting cases of adult degenerative scoliosis are corrected by spinal fusion, the success of which is determined by pedicle screw accuracy. Robot-assisted guidance has become more commonly used in spinal surgery to ensure pedicle screw placement. However, there is limited evidence for the role of robot-assisted guidance in the correction of adult degenerative scoliosis. Here, in this randomized controlled trial, we aim to investigate whether robot-assisted guidance can more consistently produce accurate pedicle screw placement than neuronavigation. One hundred and fifty participants of specific selection criteria will undergo spinal fusion with the guidance of robot assistance or neuronavigation with postoperative computerized tomography scans to measure the pedicle screw accuracy. This study may have a widespread, direct impact in supporting the use of robotics to correct degenerative scoliosis.

Open Access

This Article is Open Access