Study of Application of Robotics in Spinal Surgery

Zhi Inn Ong

doi:10.62051/x1wawe35

Authors

Zhi Inn Ong

DOI:

https://doi.org/10.62051/x1wawe35

Keywords:

Robotics In spinal surgery, conventional pedicle screw placement, fluoroscopy, learning curves.

Abstract

Pedicle fixation during spinal surgery done with robot assistance has sparked a wave of contemporary discourse within the surgical field. This contrasts with conventional methods such as freehand with fluoroscopy assistance. The comparison between the novel and conventional techniques, the gradual application of robotics into spine surgical field, prospects, and limitations of applying robotics in spinal surgery will be discussed in this review. Spine surgery with robot assistance was shown to have lowered the risk of surgical spine in multiple aspects including radiation exposure, neurologic/vascular damage due to its high precision. The first established of robotics into the system which had pioneered the field and which subsequently led to more innovative technologies that target the conveniency, accuracy and duration for incorporating robots into spinal surgery procedure. With the acceleration of inventions and reduced intervals between their emergences, had drawn some attention to the learning curves associated with the application of robotics in spinal surgery. Albeit the many flaws being refined with robot assistance during spinal surgery, however, the effect as compared to other techniques is still not as prominent and impactful thus, leading to the slow progressing of incorporation into the spinal surgical field.

Downloads

Download data is not yet available.

References

Vo CD, Jiang B, Azad TD, Crawford NR, Bydon A, Theodore N, Robotic Spine Surgery: Current State in Minimally Invasive Surgery, Global Spine Journal, 2020.

Parker SL, McGirt MJ, Farber SH, Amin AG, Rick AM, Suk IB, Bydon A, Sciubba DM, Wolinsky JP, Gokaslan ZL, Witham TF, Accuracy of Free-Hand Pedicle Screws in the Thoracic and Lumbar Spine: Analysis of 6816 Consecutive Screws, Neurosurgery 68(1) (2011) 170-178.

Galetta MS, Leider JD, Divi SN, Goyal DK, Schroeder GD, Robotics in spinal surgery, Ann Transl Med 7(Suppl 5) (2019) S165.

Zhang Q, Han XG, Xu YF, Fan MX, Zhao JW, Liu YJ, He D, Tian W, Robotic navigation during spine surgery, Expert Review of Medical Devices (2019) 1–6.

Fiani B, Quadri SA, Farooqui M et al., Impact of robot-assisted spine surgery on health care quality and neurosurgical economics: A systemic review, Neurosurg Rev 43 (2020) 17–25.

Gajjar AA, Le AHD, Lavadi RS, Boddeti U, Barpujari A, Abou-Al-Shaar H, Agarwal N, Evolution of robotics in spine surgery: A historical perspective, Interdisciplinary Neurosurgery 33 (2023) 101721.

Pennington Z, Judy BF, Zakaria HM, Lakomkin N, Mikula AL, Elder BD, Theodore N, Learning curves in robot-assisted spine surgery: a systematic review and proposal of application to residency curricula, Neurosurgical Focus 52(1) (2022) E3.

Marcus HJ, Cundy TP, Nandi D, Yang GZ, Robot-assisted and fluoroscopy-guided pedicle screw placement: a systematic review, (2014) 23(2) 291–297.

Fu W, Tong J, Liu G, Zheng Y, Wang S, Abdelrahim MEA, Gong S, Robot-assisted technique vs conventional freehand technique in spine surgery: A meta-analysis, International Journal of Clinical Practice (2021).

Joseph JR, Smith BW, Liu X, Park P, Current applications of robotics in spine surgery: a systematic review of the literature, Neurosurgical Focus 42(5) (2017) E2.

Vijayeswaran N, Venkatesh R, Murugesan G, Balamurugan S, Indunesh K, Pradeep TT, Is Freehand Technique of Pedicle Screw Insertion in Thoracolumbar Spine Safe and Accurate? Assessment of 250 Screws, J Neurosci Rural Pract 10(2) (2019) 256-260.

Li HM, Zhang RJ, Shen CL, Accuracy of Pedicle Screw Placement and Clinical Outcomes of Robot-assisted Technique Versus Conventional Freehand Technique in Spine Surgery From Nine Randomized Controlled Trials: A Meta-analysis, SPINE 45(2) (2020) E111-E119.

Kantelhardt SR, Martinez R, Baerwinkel S, Burger R, Giese A, Rohde V, Perioperative course and accuracy of screw positioning in conventional, open robotic-guided and percutaneous robotic-guided, pedicle screw placement, Eur Spine J 20(6) (2011) 860-8.

Jiang B, Azad TD, Cottrill E, Zygourakis CC, Zhu AM, Crawford N, Theodore N, New spinal robotic technologies, Frontiers of Medicine (2019).

Gonzalez D, Ghessese S, Cook D et al., Initial intraoperative experience with robotic-assisted pedicle screw placement with stealth navigation in pediatric spine deformity: an evaluation of the first 40 cases, J Robotic Surg 15 (2021) 687–693.

Perfetti DC, Kisinde S, Rogers-LaVanne MP, Satin AM, Lieberman IH, Robotic Spine Surgery: Past, Present, and Future, Spine 47(13) (2022) 909-921.

Wang TY, Park C, Dalton T, Rajkumar S, McCray E, Owolo E, Than KD, Abd-El-Barr MM, Robotic navigation in spine surgery: Where are we now and where are we going, Journal of Clinical Neuroscience 94 (2021) 298–304.

Hu X, Ohnmeiss DD,Vo CD, Jiang B, Azad TD, Crawford NR, Bydon A, Theodore N, Robotic Spine Surgery: Current State in Minimally Invasive Surgery, Global Spine Journal (2020).

Sharif S, Afsar A, Learning Curve and Minimally Invasive Spine Surgery, World Neurosurgery (2018).