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

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.

In Vitro Analysis of Accuracy, Dosage and Surgical Time Required for Pedicle Screw Placement Using Conventional Percutaneous Screw and Robotic-Assisted Screw Techniques

2017 ◽  
Vol 17 (10) ◽  
pp. S261
Author(s):  
Alexander R. Vaccaro ◽  
Mir Hussain ◽  
Jonathan Harris ◽  
Neil Crawford ◽  
Victor Chang ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Surgical Time ◽  
Robotic Assisted ◽  
Time Required ◽  
Vitro Analysis ◽  
In Vitro Analysis

A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement

10.3791/60924 ◽  
2020 ◽  
Author(s):  
Hsuan-Yu Chen ◽  
Xiu-Yun Xiao ◽  
Chih-Wei Chen ◽  
Hao-Kai Chou ◽  
Chen-Yu Sung ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Navigation System ◽  
Screw Placement ◽  
Pedicle Screw Placement ◽  
Robotic Assisted ◽  
Assisted Navigation

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

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 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.

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