Da Vinci Robot-Assisted Transoral Odontoidectomy for Basilar Invagination

Lee, John Y.K.; Lega, Bradley; Bhowmick, Deb A.; Newman, Jason G.; O’Malley, Bert W.; Weinstein, Greg S.; Grady, M. Sean; Welch, William C.

doi:10.1159/000278256

Cited by 59 publications

(37 citation statements)

References 37 publications

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“…26 Because navigation or fluoroscopy could establish a safe approach to areas of interest, systems were developed with limited automation, such as the da Vinci or Renaissance robots (described below). 5,19,[28][29][30][31]39,60 Early robotic models were constrained to deployment at one location. To reach other areas, the machine had to be moved around the patient.…”

Section: Current Technologies Robotic Systemsmentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

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Surgical robots have captured the interest—if not the widespread acceptance—of spinal neurosurgeons. But successful innovation, scientific or commercial, requires the majority to adopt a new practice. “Faster, better, cheaper” products should in theory conquer the market, but often fail. The psychology of change is complex, and the “follow the leader” mentality, common in the field today, lends little trust to the process of disseminating new technology. Beyond product quality, timing has proven to be a key factor in the inception, design, and execution of new technologies. Although the first robotic surgery was performed in 1985, scant progress was seen until the era of minimally invasive surgery. This movement increased neurosurgeons’ dependence on navigation and fluoroscopy, intensifying the drive for enhanced precision. Outside the field of medicine, various technology companies have made great progress in popularizing co-robots (“cobots”), augmented reality, and processor chips. This has helped to ease practicing surgeons into familiarity with and acceptance of these technologies. The adoption among neurosurgeons in training is a “follow the leader” phenomenon, wherein new surgeons tend to adopt the technology used during residency. In neurosurgery today, robots are limited to computers functioning between the surgeon and patient. Their functions are confined to establishing a trajectory for navigation, with task execution solely in the surgeon’s hands. In this review, the authors discuss significant untapped technologies waiting to be used for more meaningful applications. They explore the history and current manifestations of various modern technologies, and project what innovations may lie ahead.

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Section: Current Technologies Robotic Systemsmentioning

confidence: 99%

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Madhavan¹,

Kolcun²,

Chieng³

et al. 2017

Neurosurgical Focus

View full text Add to dashboard Cite

show abstract

“…The da Vinci Robotic System obtained FDA approval in 2012 for transoral approaches in severe myelopathy and bacillary invagination cases. For this purpose, Lee et al applied odontoidectomy to a patient with bacillary invagination and severe myelopathy (20). In the present case, odontoid resection was successfully performed, but it was reported that a significant deficiency was experienced during the use of a robotic system regarding the utilization of a kerrison punch and bone drilling.…”

Section: Onen Mr and Naderi S: Robotic Systems In Spine Surgerymentioning

confidence: 75%

Using robotic systems in spine surgery

Önen

Naderi²

2013

Turkish Neurosurgery

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Surgical robotic systems have been available for almost twenty years. The first surgical robotic systems were designed as supportive systems for laparoscopic approaches in general surgery (the first procedure was a cholecystectomy in 1987). The da Vinci Robotic System is the most common system used for robotic surgery today. This system is widely used in urology, gynecology and other surgical disciplines, and recently there have been initial reports of its use in spine surgery, for transoral access and anterior approaches for lumbar inter-body fusion interventions.SpineAssist, which is widely used in spine surgery, and Renaissance Robotic Systems, which are considered the next generation of robotic systems, are now FDA approved. These robotic systems are designed for use as guidance systems in spine instrumentation, cement augmentations and biopsies. The aim is to increase surgical accuracy while reducing the intra-operative exposure to harmful radiation to the patient and operating team personnel during the intervention. We offer a review of the published literature related to the use of robotic systems in spine surgery and provide information on using robotic systems.

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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%

“…Although accuracy estimates are still debated, several case reports cite many advantages observed when expanding use of robotic assistance into spine operations. Established for general surgery in 2000, the da Vinci surgical system has been used with great success within the past few years in various spine procedures such as anterior lumbar interbody fusion, 6,24 transoral odontoidectomy, 30 resection of thoracolumbar neurofibroma, 30 and resection of paraspinal schwannoma. 34,35 Although case reports differ greatly in procedure and technique, there were several observations made in every case that proved beneficial for patient outcomes (Table 2).…”

Section: 9mentioning

confidence: 99%

“…34,35 Although case reports differ greatly in procedure and technique, there were several observations made in every case that proved beneficial for patient outcomes (Table 2). 6,19,23,24,34,45 Visualization was unanimously considered superior when using the robotic system. 6,30,45 The increased magnification offered by robotic assistance provided improved visualization for careful dissection of associated nerves and blood vessels.…”

Section: 9mentioning

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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Da Vinci Robot-Assisted Transoral Odontoidectomy for Basilar Invagination

Cited by 59 publications

References 37 publications

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Using robotic systems in spine surgery

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

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