Robotic Assistance and Intervention in Spine Surgery

2014 ◽  
pp. 495-506 ◽  
Author(s):  
Rajesh Kumar
Keyword(s):  
Spine Surgery ◽  
Robotic Assistance

Robotic-Assisted Endoscopic Laminotomy: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Yingda Li ◽  
Michael Y Wang
Keyword(s):  
Spine Surgery ◽  
Human Error ◽  
Robotic Assistance ◽  
The Novel ◽  
Robotic Assisted ◽  
Accuracy And Precision ◽  
Surgical Ergonomics ◽  
Patient Consent ◽  
Potential Synergy ◽  
And Robotics

Abstract Endoscopy and robotics represent two emerging technologies within the field of spine surgery, the former an ultra-MIS approach minimizing the perioperative footprint and the latter leveraging accuracy and precision. Herein, we present the novel incorporation of robotic assistance into endoscopic laminotomy, applied to a 27-yr-old female with a large caudally migrated L4-5 disc herniation. Patient consent was obtained. Robotic guidance was deployed in (1) planning of a focussed laminotomy map, pivoting on a single skin entry point; (2) percutaneous targeting of the interlaminar window; and (3) execution of precision drilling, controlled for depth. Through this case, we illustrated the potential synergy between these 2 technologies in achieving precise bony removal tailored to the patient's unique pathoanatomy while simultaneously introducing safety mechanisms against human error and improving surgical ergonomics.1,2 The physicians consented to the publication of their images.

Robotic-Assisted Spine Surgery Using the Mazor XTM System: 2-Dimensional Operative Video

2018 ◽  
Vol 16 (4) ◽  
pp. E123-E123 ◽  
Author(s):  
Lee A Tan ◽  
Ronald A Lehman
Keyword(s):  
Spine Surgery ◽  
Screw Placement ◽  
Illustrative Case ◽  
Robotic Assistance ◽  
Pedicle Screw Placement ◽  
Robotic Assisted ◽  
Patient Consent ◽  
System 2 ◽  
Screw Malposition ◽  
Lumbar Pedicle

Abstract We demonstrate the setup and workflow of performing robotic spine surgery using the Mazor XTM system (MAZOR Robotics Inc, Orlando, Florida) in this video. An illustrative case was presented, including detailed steps for S2AI screw and lumbar pedicle screw placement using robotic assistance. A step-by-step narration is provided along with discussion of surgical nuances. Robotic spine surgery can be a safe and efficient method for screw placement, which can potentially reduce the risk of screw malposition. Spine surgeons should be familiar with this technology and keep this technique in their armamentarium. There is no identifying information in this video. A patient consent was obtained for publishing of the material included in the video.

scholarly journals ROBOTIC ASSISTANCE IN SPINE SURGERY

2010 ◽  
Vol 16 (2) ◽  
pp. 62-63
Author(s):  
N. A. Konovalov ◽  
I. N. Shevelev ◽  
V. N. Kornienko ◽  
A. G. Nazarenko ◽  
D. S. Asyutin ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Degenerative Disc Disease ◽  
Spinal Surgery ◽  
Screw Placement ◽  
Robotic Assistance ◽  
Rotational Deformity ◽  
Disc Disease ◽  
Degenerative Disc ◽  
Complex Anatomy ◽  
Intraoperative Positioning

Robotic assistance recently gains increasing popularity in spinal surgery. Robotic assistance provides higher effectiveness and safety especially in complex anatomy environment. 16 patients with degenerative disc disease were operated with robotic assistance device («SpineAssist»; MAZOR Surgical Technologies, Caesarea, Israel). The robot was used for automated intraoperative positioning of the instruments according to preoperatively planned trajectories. Robotic assistance enabled optimal screw placement even in complex anatomical cases (thin pedicles and rotational deformity). No implant-related complications were recorded.

scholarly journals First spine surgery utilizing real-time image-guided robotic assistance

2019 ◽  
Vol 24 (1) ◽  
pp. 13-17 ◽  
Author(s):  
A. Karim Ahmed ◽  
Corinna C. Zygourakis ◽  
Samuel Kalb ◽  
Alex M. Zhu ◽  
Camilo A. Molina ◽  
...  
Keyword(s):  
Real Time ◽  
Spine Surgery ◽  
Robotic Assistance ◽  
Image Guided ◽  
Real Time Image ◽  
Time Image

scholarly journals Does the accuracy of pedicle screw placement differ between the attending surgeon and resident in navigated robotic-assisted minimally invasive spine surgery?

2019 ◽  
Vol 14 (4) ◽  
pp. 567-572 ◽  
Author(s):  
Arnold B. Vardiman ◽  
David J. Wallace ◽  
Grant A. Booher ◽  
Neil R. Crawford ◽  
Jessica R. Riggleman ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pedicle Screw ◽  
Spine Surgery ◽  
Pedicle Screws ◽  
Screw Placement ◽  
Robotic Assistance ◽  
Pedicle Screw Placement ◽  
Robot Assisted ◽  
Left And Right ◽  
Spine Surgeon

Abstract Robotic assistance with integrated navigation is an area of high interest for improving the accuracy of minimally invasive pedicle screw placement. This study analyzes the accuracy of pedicle screw placement between an attending spine surgeon and a resident by comparing the left and right sides of the first 101 consecutive cases using navigated robotic assistance in a private practice clinical setting. A retrospective, Institutional Review Board-exempt review of the first 106 navigated robot-assisted spine surgery cases was performed. One attending spine surgeon and one resident performed pedicle screw placement consistently on either the left or right side (researchers were blinded). A CT-based Gertzbein and Robbins system (GRS) was used to classify pedicle screw accuracy, with grade A or B considered accurate. There were 630 consecutive lumbosacral pedicle screws placed. Thirty screws (5 patients) were placed without the robot due to surgeon discretion. Of the 600 pedicle screws inserted by navigated robotic guidance (101 patients), only 1.5% (9/600) were repositioned intraoperatively. Based on the GRS CT-based grading of pedicle breach, 98.67% (296/300) of left-side screws were graded A or B, 1.3% (4/300) were graded C, and 0% (0/300) were graded D. For the right-side screws, 97.67% (293/300) were graded A or B, 1.67% (5/300) were graded C, and 0.66% (2/300) were graded D. This study demonstrated a high level of accuracy (based on GRS) with no significant differences between the left- and right-side pedicle screw placements (98.67% vs. 97.67%, respectively) in the clinical use of navigated, robot-assisted surgery.

scholarly journals Evaluating the Accuracy of Robotic Assistance in Spine Surgery

Neurosurgery ◽  
2012 ◽  
Vol 71 (2) ◽  
pp. N20-N21 ◽  
Author(s):  
K.S. Cahill ◽  
M.Y. Wang
Keyword(s):  
Spine Surgery ◽  
Robotic Assistance

Quad S2-Alar-Iliac Screw Fixation via Navigated Spinal Robotics With Software Planning: 2-Dimensional Operative Video

2020 ◽  
Vol 19 (5) ◽  
pp. E523-E523 ◽  
Author(s):  
Martin H Pham ◽  
Luis Daniel Diaz-Aguilar ◽  
Bradley H King ◽  
Joseph A Osorio ◽  
Ronald A Lehman
Keyword(s):  
Spine Surgery ◽  
Surgical Procedure ◽  
Screw Fixation ◽  
Spinal Instrumentation ◽  
Robotic Assistance ◽  
Patient Consent ◽  
Iliac Screws ◽  
Iliac Screw ◽  
Robotic Platforms

Abstract The use of robotic guidance for spinal instrumentation has become promising for its ability to offer the advantages of precision, accuracy, and reproducibility. However, utilization and adoption of robotic platforms for spine surgery remain limited especially in comparison to other surgical fields. We present here a case of a 71-yr-old man with a prior T4-pelvis long-segment fusion who presented with distal sacro-iliac instrumentation loosening with pseudarthrosis. He subsequently underwent construct revision with quad (bilateral dual) S2-alar-iliac screw fixation with navigated spinal robotic assistance (Mazor X Stealth Edition, Medtronic Sofamor Danek, Medtronic Inc, Dublin, Ireland). To our knowledge, this is the first video demonstrating the preoperative software planning and intraoperative workflow for placing quad S2-alar-iliac screws with navigated spinal robotic guidance using the Mazor X Stealth Edition.  There is no identifying information in this video. Patient consent was obtained for the surgical procedure and for publishing of the material included in the video.

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