Operative time and learning curve between fluoroscopy-based instrument tracking and robot-assisted instrumentation for patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF)

Wang, Timothy Y.; Mehta, Vikram A.; Sankey, Eric W.; Lavoie, Stéphane; Abd-El-Barr, Muhammad M.; Yarbrough, Chester K.

doi:10.1016/j.clineuro.2021.106698

Cited by 19 publications

(16 citation statements)

References 14 publications

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“…However, the muscle injury of open posterior TLIF still affects the longterm effect of this fusion technique. In 2021, Sun et al and Wang et al used percutaneous and channel technology to complete MIS-TLIF technology, which solved the problem of the minimally invasive posterior spinal approach by applying the paravertebral approach, reduced the traction and stripping of the paravertebral muscle that occurs in conventional posterior lumbar surgery, and achieved a good clinical effect (18,19). Compared to PLIF, TLIF has a number of obvious advantages, including that it results in complete intraoperative decompression and hemostasis, faster postoperative functional recovery, less postoperative lumbar pain, and fewer postoperative complications (20)(21)(22).…”

Section: Discussionmentioning

confidence: 99%

Application and thinking of minimally invasive transforaminal lumbar interbody fusion in degenerative lumbar diseases

Wang

et al. 2022

Ann Transl Med

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Background: This study sought to investigate the clinical efficacy and safety of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in the treatment of lumbar degenerative diseases. Methods: The clinical data of 55 patients with lumbar degenerative diseases treated at our hospital from January 2018 to January 2020 were analyzed retrospectively. Of the 55 patients, 35 who underwent MIS-TLIF were included in the MIS-TLIF group, and 20 who underwent posterior lumbar interbody fusion (PLIF) were included in the PLIF group. The visual analogue scale (VAS) score, Oswestry disability index (ODI) score, operation time, incision length, intraoperative bleeding, postoperative drainage, postoperative landing time, postoperative hospital stay, postoperative interbody fusion rate, and complications were compared between the two groups.Results: The patients in both groups were followed-up for at least 1.5 years (range, 18-30 months; with an average of 27.5±2.6 months). There was no significant difference in the operation time, incision length, intraoperative bleeding, VAS score for low back and leg pain, ODI score, interbody fusion rate, hospitalization expenses, and complication rate between the two groups (P>0.05). One patient had nail failure in the MIS-TLIF group, 1 patient in each group had nerve root irritation, and 1 patient in each group had superficial incision infection and local suture dehiscence. The postoperative drainage volume, postoperative landing time, and postoperative hospital stay of the MIS-TLIF group were less than those of the PLIF group (P<0.05).Conclusions: Compared to PLIF, the use of MIS-TLIF in the treatment of lumbar degenerative diseases has a number of advantages, including more complete intraoperative hemostasis, less postoperative drainage, earlier landing, and faster discharge, and also significantly improves postoperative lumbar discomfort.

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Section: Discussionmentioning

confidence: 99%

Application and thinking of minimally invasive transforaminal lumbar interbody fusion in degenerative lumbar diseases

Wang

et al. 2022

Ann Transl Med

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“…12 However, the adoption of these advanced technologies faces several difficulties involving cost, efficacy, and learning curve. 12 The use of fluoroscopy-based tracking entails only using the standard c-arm and eliminating the need for intraoperative 3-dimensional spins or preoperative computed tomography imaging. 12 The quick preoperative setup does not add unnecessary time to the surgery.…”

Section: Fluoroscopy-based Instrument Tracking Guidancementioning

confidence: 99%

“…12 The use of fluoroscopy-based tracking entails only using the standard c-arm and eliminating the need for intraoperative 3-dimensional spins or preoperative computed tomography imaging. 12 The quick preoperative setup does not add unnecessary time to the surgery. 12 To demonstrate the effective nature of fluoroscopic instrument tracking, Wang et al 12 compared overall surgical duration and learning curve between the fluoroscopic-based tracking system and other navigation modalities in the same surgical population.…”

Section: Fluoroscopy-based Instrument Tracking Guidancementioning

confidence: 99%

“…12 The quick preoperative setup does not add unnecessary time to the surgery. 12 To demonstrate the effective nature of fluoroscopic instrument tracking, Wang et al 12 compared overall surgical duration and learning curve between the fluoroscopic-based tracking system and other navigation modalities in the same surgical population. They concluded that TLIF procedures utilizing fluoroscopy-based tracking navigation had a short learning curve and achieved consistent improvement in operative times with a mean of 13.88 ± 38.69 min saved compared with TLIFs performed with standard fluoroscopy.…”

Section: Fluoroscopy-based Instrument Tracking Guidancementioning

confidence: 99%

“…[9][10][11] The United States Food and Drug Administration recently approved a fluoroscopy-based instrument tracking system that provides the surgeon with pseudo-live, multiplanar fluoroscopy images. 12 The use of this tracking system, the TrackX (TrackX Technology), reduces radiation exposure and operative time compared with conventional navigation techniques. 12,13 Application of this technology has been assessed mainly for the placement of pedicle screws 12,13 ; however, to our knowledge, no previous studies have evaluated the use of this tracking system during the placement of cages in patients undergoing PTP.…”

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confidence: 99%

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Prone Transpsoas Lateral Lumbar Interbody Fusion for Degenerative Lumbar Spine Disease: Case Series With an Operative Video Using Fluoroscopy-Based Instrument Tracking Guidance

Soliman

Ruggiero

Kuo

et al. 2022

Operative Neurosurgery

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BACKGROUND:Lateral lumbar interbody fusion has inherent limitations, such as the necessity to reposition the patient. To overcome this limitation, the prone transpsoas (PTP) approach for lateral lumbar interbody fusion has been developed.OBJECTIVE:To report clinical and radiographic outcome measures of a series of patients who underwent PTP at our hospital.METHODS:A retrospective chart review was conducted to identify patients who underwent PTP for degenerative lumbar spine disease between September 2019 and August 2021. A thorough analysis of clinical and radiographic outcome measures for these patients was conducted.RESULTS:Our search resulted in the identification of 15 consecutive patients. Four patients were operated using the assistance of fluoroscopy-based instrument tracking. Overall, the mean follow-up duration was 11.9 ± 7.9 months. Radiographically, the PTP approach resulted in significant postoperative improvement of lumbar lordosis (P = .03) and pelvic incidence minus lumbar lordosis (P < .005). No significant difference was found postoperatively in other regional sagittal alignment parameters, including pelvic tilt, sacral slope, or pelvic incidence. Clinically, the patients' Oswestry Disability Indices (P = .002) and Short Form Survey-12 Physical Scores improved significantly (P = .01). The estimated mean blood loss for patients who underwent the PTP procedure was 137.7 ± 96.4 mL, the mean operative time was 212.5 ± 77.1 minutes, and the mean hospital stay was 2.7 ± 1.4 days. One patient each had superficial wound infection, transient paralytic ileus, transient pulmonary embolism, transient urinary retention, or required revision lumbar surgery.CONCLUSION:This study demonstrates that the PTP approach is associated with significant improvement in radiographic and clinical outcomes.

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Robotics in spine surgery: systematic review of literature

Lopez

Benzakour²,

Mavrogenis

et al. 2022

International Orthopaedics (SICOT)

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Operative time and learning curve between fluoroscopy-based instrument tracking and robot-assisted instrumentation for patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF)

Cited by 19 publications

References 14 publications

Application and thinking of minimally invasive transforaminal lumbar interbody fusion in degenerative lumbar diseases

Application and thinking of minimally invasive transforaminal lumbar interbody fusion in degenerative lumbar diseases

Prone Transpsoas Lateral Lumbar Interbody Fusion for Degenerative Lumbar Spine Disease: Case Series With an Operative Video Using Fluoroscopy-Based Instrument Tracking Guidance

Robotics in spine surgery: systematic review of literature

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