Design of a positioning system for orienting surgical cannulae during Minimally Invasive Spine Surgery

Portaccio, Iacopo; Valentini, Simona; Tagliamonte, Nevio Luigi; Angiolari, Alessio; Russo, Fabrizio; Papalia, Rocco; Denaro, Vincenzo; Vadalà, Gianluca; Accoto, Dino

doi:10.1109/biorob.2016.7523672

Cited by 1 publication

(1 citation statement)

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“…90,91 In a recent study, we described a novel robotic drilling system equipped with force and position sensors that are able to identify the specific vertebral bone layers by relying on tissue average impedance. 92,93 In this pilot study, we demonstrated that average impedance along the drilled tunnel closely correlated with bone mineral density calculated in Hounsfield units at the postprocedural CT scan of the tunnel, thus being predictive of the drill tip location without the need of additional radiation exposure (data not published yet).…”

Section: Discussionmentioning

confidence: 71%

Robotic Spine Surgery and Augmented Reality Systems: A State of the Art

et al. 2020

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Instrumented spine procedures have been performed for decades to treat a wide variety of spinal disorders. New technologies have been employed to obtain a high degree of precision, to minimize risks of damage to neurovascular structures and to diminish harmful exposure of patients and the operative team to ionizing radiations. Robotic spine surgery comprehends 3 major categories: telesurgical robotic systems, robotic-assisted navigation (RAN) and virtual augmented reality (AR) systems, including AR and virtual reality. Telesurgical systems encompass devices that can be operated from a remote command station, allowing to perform surgery via instruments being manipulated by the robot. On the other hand, RAN technologies are characterized by the robotic guidance of surgeon-operated instruments based on real-time imaging. Virtual AR systems are able to show images directly on special visors and screens allowing the surgeon to visualize information about the patient and the procedure (i.e., anatomical landmarks, screw direction and inclination, distance from neurological and vascular structures etc.). The aim of this review is to focus on the current state of the art of robotics and AR in spine surgery and perspectives of these emerging technologies that hold promises for future applications.

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Section: Discussionmentioning

confidence: 71%