Robotic guidance in posterior transdiscal fixation for high-grade spondylolisthesis: a case series

Robotic guidance in PTD fixation for HGS appears to enhance procedural accuracy and safety, facilitating reliable instrumentation in challenging anatomy while potentially reducing operative risk, radiation exposure, and complications. In this preliminary series, patients experienced meaningful reductions in pain and disability with stable radiographic outcomes and an absence of perioperative adverse events. Larger comparative studies with longer follow-up are warranted to confirm durability, quantify radiation and efficiency benefits, and define patient selection criteria for maximal benefit.