A review of surgical robots for spinal interventions

Bertelsen, Álvaro; Melo, Javier; Sánchez, Emilio; Borro, Diego

doi:10.1002/rcs.1469

Cited by 87 publications

(55 citation statements)

References 43 publications

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“…2,9,39 Several models are under research and development; for instance, the da Vinci surgical system has been used for paraspinal tumor removal and transoral odontoidectomy under a research protocol, with great success. 5,23,24,30,34,45 SpineAssist (Mazor Surgical Technologies) is a miniature robot approved by the FDA for pedicle screw placement, which has been evaluated in multiple retrospective and a few prospective studies. 7,9,15 Such robots have been incorporated in the spinal operating theater for the theoretical benefits of improved visualization, reduced radiation exposure for both patients and surgeons, and improved accuracy in placement of screws and implants.…”

Section: Robotics and The Operating Theater: A Match Made In Heavenmentioning

confidence: 99%

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Robotics and the spine: a review of current and ongoing applications

Shweikeh¹,

Amadio

Arnell³

et al. 2014

FOC

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T echnological advances have revolutionized spine surgery over the past 20 years. Many of these developments have been centered on the innovations of new technology implants and minimally invasive spine surgery. The goals of these improvements have been to balance the maintenance of a high degree of precision, to minimize risks of damage to neurovascular structures, to facilitate surgeon access and operating room dynamics, and to diminish harmful exposure to ionizing radiation in patients and the operative team. Because the risks associated with spine surgery are plentiful and limiting complications is imperative, implementing a robot-assisted technique has the potential to address many concerns associated with conventional surgery.Robotic systems have been used in multiple surgical disciplines including gynecology, urology, and general surgery. In the last decade we have seen the application of this technology to spine surgery. Robots can potentially help with all matters of spine surgery including the following: precision in spinal instrumentation, eliminating dural and neurovascular injuries, minimizing exposure to radiation, and improving operating room workflow. 5At the same time, the technology affords the surgeon a significant improvement in coordination, 3D visualization, and a reduction in fatigue, and it offers the patient a smaller incision, lower risk of infections, minimal muscle retraction and thus postoperative pain, and shortened length of hospital stay. 16 Apart from screw and rod insertion, the technology has been applied to other forms of spine operations and pathological conditions including tumor resections and ablations, vertebroplasties, and anesthetic blocks. This article provides an overview and update on the utility of robotics in spine surgery and spine biomechanics testing. MethodsUsing the National Library of Medicine search enRobotics and the spine: a review of current and ongoing applications Object. Robotics in the operating room has shown great use and versatility in multiple surgical fields. Robotassisted spine surgery has gained significant favor over its relatively short existence, due to its intuitive promise of higher surgical accuracy and better outcomes with fewer complications. Here, the authors analyze the existing literature on this growing technology in the era of minimally invasive spine surgery.Methods. In an attempt to provide the most recent, up-to-date review of the current literature on robotic spine surgery, a search of the existing literature was conducted to obtain all relevant studies on robotics as it relates to its application in spine surgery and other interventions.Results. In all, 45 articles were included in the analysis. The authors discuss the current status of this technology and its potential in multiple arenas of spinal interventions, mainly spine surgery and spine biomechanics testing.Conclusions. There are numerous potential advantages and limitations to robotic spine surgery, as suggested in published case reports and in retrospective and prosp...

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Section: Robotics and The Operating Theater: A Match Made In Heavenmentioning

confidence: 99%

“…16 Apart from screw and rod insertion, the technology has been applied to other forms of spine operations and pathological conditions including tumor resections and ablations, vertebroplasties, and anesthetic blocks. 5 This article provides an overview and update on the utility of robotics in spine surgery and spine biomechanics testing.…”

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confidence: 99%

Robotics and the spine: a review of current and ongoing applications

Shweikeh¹,

Amadio

Arnell³

et al. 2014

FOC

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“…In [7], grippers for surgical applications can be found. In [8], only dual arm manipulation was covered.…”

Section: Introductionmentioning

confidence: 99%

State of the Art Robotic Grippers and Applications

et al. 2016

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Abstract:In this paper, we present a recent survey on robotic grippers. In many cases, modern grippers outperform their older counterparts which are now stronger, more repeatable, and faster. Technological advancements have also attributed to the development of gripping various objects. This includes soft fabrics, microelectromechanical systems, and synthetic sheets. In addition, newer materials are being used to improve functionality of grippers, which include piezoelectric, shape memory alloys, smart fluids, carbon fiber, and many more. This paper covers the very first robotic gripper to the newest developments in grasping methods. Unlike other survey papers, we focus on the applications of robotic grippers in industrial, medical, for fragile objects and soft fabrics grippers. We report on new advancements on grasping mechanisms and discuss their behavior for different purposes. Finally, we present the future trends of grippers in terms of flexibility and performance and their vital applications in emerging areas of robotic surgery, industrial assembly, space exploration, and micromanipulation. These advancements will provide a future outlook on the new trends in robotic grippers.

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“…One of the greatest obstacles to the widespread robotization of neurosurgical procedures is the total cost of robotic systems, which remain very high [8].…”

Section: Introductionmentioning

confidence: 99%