A robotic system for spine surgery positioning and pedicle screw placement

2021 ◽  
Author(s):  
Jian Zhang ◽  
Weishi Li ◽  
Lei Hu ◽  
Yu Zhao ◽  
Tianmiao Wang
Keyword(s):  
Pedicle Screw ◽  
Spine Surgery ◽  
Robotic System ◽  
Screw Placement ◽  
Pedicle Screw Placement

scholarly journals Overview of Robotic Technology in Spine Surgery

2021 ◽  
pp. 155633162110266
Author(s):  
Ram K. Alluri ◽  
Fedan Avrumova ◽  
Ahilan Sivaganesan ◽  
Avani S. Vaishnav ◽  
Darren R. Lebl ◽  
...  
Keyword(s):  
Economic Impact ◽  
Pedicle Screw ◽  
Clinical Outcomes ◽  
Spine Surgery ◽  
Screw Placement ◽  
Complication Rates ◽  
Robotic Technology ◽  
Pedicle Screw Placement ◽  
The Past ◽  
Compare And Contrast

As robotics in spine surgery has progressed over the past 2 decades, studies have shown mixed results on its clinical outcomes and economic impact. In this review, we highlight the evolution of robotic technology over the past 30 years, discussing early limitations and failures. We provide an overview of the history and evolution of currently available spinal robotic platforms and compare and contrast the available features of each. We conclude by summarizing the literature on robotic instrumentation accuracy in pedicle screw placement and clinical outcomes such as complication rates and briefly discuss the future of robotic spine surgery.

Methods to determine pedicle screw placement accuracy in spine surgery: a systematic review

2015 ◽  
Vol 24 (5) ◽  
pp. 990-1004 ◽  
Author(s):  
Ahmed A. Aoude ◽  
Maryse Fortin ◽  
Rainer Figueiredo ◽  
Peter Jarzem ◽  
Jean Ouellet ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pedicle Screw ◽  
Spine Surgery ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Placement Accuracy

scholarly journals Known-component 3D-2D registration for image guidance and quality assurance in spine surgery pedicle screw placement

2015 ◽  
Author(s):  
A. Uneri ◽  
J. W. Stayman ◽  
T. De Silva ◽  
A. S. Wang ◽  
G. Kleinszig ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Pedicle Screw ◽  
Spine Surgery ◽  
Image Guidance ◽  
Screw Placement ◽  
Pedicle Screw Placement

scholarly journals Sublaminar bands in oncological spine surgery: illustrative cases

2021 ◽  
Vol 1 (21) ◽  
Author(s):  
Godard C. W. de Ruiter ◽  
Valerio Pipola ◽  
Cristiana Griffoni ◽  
Alessandro Gasbarrini
Keyword(s):  
Pedicle Screw ◽  
Spine Surgery ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Pathological Fractures ◽  
Additional Tool ◽  
Beneficial Effects ◽  
Potential Applications ◽  
Hybrid Construct ◽  
Sublaminar Bands

BACKGROUND Sublaminar bands have been used in addition to pedicle screw placement in the correction of idiopathic scoliosis forming a so-called hybrid construct. OBSERVATIONS In this article, the authors present several cases that demonstrate the potential applications of sublaminar bands in oncological spine surgery. The potential applications are divided into three categories: (1) as an additional tool in salvage procedures, (2) to correct kyphosis in pathological fractures, and (3) for bone graft anchoring to the spine. LESSONS The cases presented in this article demonstrate the potential beneficial effects of the sublaminar bands in addition to pedicle screw placement.

scholarly journals Feasibility and accuracy of a robotic guidance system for navigated spine surgery in a hybrid operating room: a cadaver study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Gustav Burström ◽  
Marcin Balicki ◽  
Alexandru Patriciu ◽  
Sean Kyne ◽  
Aleksandra Popovic ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Operating Room ◽  
Spine Surgery ◽  
Surgical Navigation ◽  
Guidance System ◽  
Screw Placement ◽  
Robot Arm ◽  
Hybrid Operating Room ◽  
Pedicle Screw Placement ◽  
Technical Accuracy

AbstractThe combination of navigation and robotics in spine surgery has the potential to accurately identify and maintain bone entry position and planned trajectory. The goal of this study was to examine the feasibility, accuracy and efficacy of a new robot-guided system for semi-automated, minimally invasive, pedicle screw placement. A custom robotic arm was integrated into a hybrid operating room (OR) equipped with an augmented reality surgical navigation system (ARSN). The robot was mounted on the OR-table and used to assist in placing Jamshidi needles in 113 pedicles in four cadavers. The ARSN system was used for planning screw paths and directing the robot. The robot arm autonomously aligned with the planned screw trajectory, and the surgeon inserted the Jamshidi needle into the pedicle. Accuracy measurements were performed on verification cone beam computed tomographies with the planned paths superimposed. To provide a clinical grading according to the Gertzbein scale, pedicle screw diameters were simulated on the placed Jamshidi needles. A technical accuracy at bone entry point of 0.48 ± 0.44 mm and 0.68 ± 0.58 mm was achieved in the axial and sagittal views, respectively. The corresponding angular errors were 0.94 ± 0.83° and 0.87 ± 0.82°. The accuracy was statistically superior (p < 0.001) to ARSN without robotic assistance. Simulated pedicle screw grading resulted in a clinical accuracy of 100%. This study demonstrates that the use of a semi-automated surgical robot for pedicle screw placement provides an accuracy well above what is clinically acceptable.

scholarly journals Robotic-Assisted Pedicle Screw Placement During Spine Surgery

2020 ◽  
Vol 10 (2) ◽  
pp. e0020-e0020
Author(s):  
Isador H. Lieberman ◽  
Stanley Kisinde ◽  
Shea Hesselbacher
Keyword(s):  
Pedicle Screw ◽  
Spine Surgery ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Robotic Assisted

A new tool to improve pedicle screw placement accuracy in navigated spine surgery: a monocentric study

2021 ◽  
Vol 65 (3) ◽  
Author(s):  
Giovanni NICOLETTI ◽  
Massimo FURNARI ◽  
Massimiliano GIUFFRIDA ◽  
Giancarlo PONZO ◽  
Domenico G. IACOPINO ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Spine Surgery ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Placement Accuracy ◽  
Navigated Spine Surgery

Electromagnetic Field-Based Image-Guided Spine Surgery Part Two: Results of a Cadaveric Study Evaluating Thoracic Pedicle Screw Placement

Spine ◽  
2003 ◽  
Vol 28 (17) ◽  
pp. E351-E354 ◽  
Author(s):  
H. C. Sagi ◽  
R. Manos ◽  
S.-C. Park ◽  
R. Von Jako ◽  
N. R. Ordway ◽  
...  
Keyword(s):  
Electromagnetic Field ◽  
Pedicle Screw ◽  
Spine Surgery ◽  
Cadaveric Study ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Image Guided ◽  
Thoracic Pedicle Screw
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