Robotics in Cervical Spine Surgery: Feasibility and Safety of Posterior Screw Placement

Zhou, Lu-Ping; Zhang, Zhigang; Li, Dui; Fang, Shu; Sheng, Rui; Zhang, Ren‐Jie; Shen, Cailiang

doi:10.14245/ns.2244952.476

Cited by 12 publications

(5 citation statements)

References 42 publications

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“…It is more difficult to place screws into the upper cervical spine due to its proximity to important blood vessels and nerves, the surgical risk is high. At present, only few studies reported the application of robotics in upper cervical screw placement, there is a lack of multicenter clinical studies with large samples to confirm its effectiveness [ 57 , 58 ]. Tian [ 59 ] reported for the first time the application of RA upper cervical spine surgery, they performed posterior C1–2 transarticular screw fixation using the TiRobot system in a patient, postoperative CT revealed that deviation of the planned screw trajectory and actual trajectory was only 0.8798 mm.…”

Section: Clinical Application Scenarios For Spine Surgical Robotsmentioning

confidence: 99%

Spine Surgical Robotics: Current Status and Recent Clinical Applications

Wang,

Miao,

Zhan

et al. 2023

Neurospine

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With the development of artificial intelligence and the further deepening of medical-engineering integration, spine surgical robot-assisted (RA) technique has made significant progress and its applicability in clinical practice is constantly expanding in recent years. In this review, we have systematically summarized the majority of literature related to spine surgical robots in the past decade, and not only classified robots accordingly, but also summarized the latest research progress in RA technique for screw placement such as cervical, thoracic, and lumbar pedicle screws, cortical bone trajectory screws, cervical lateral mass screws, and S2 sacroiliac screws; guiding targeted puncture and placement of endoscope via the intervertebral foramen; complete resection of spinal tumor tissue; and decompressive laminectomy. In addition, this report also provides a detailed evaluation of RA technique’s advantages and disadvantages, and clarifies the accuracy, safety, and practicality of RA technique. We consider that this review can help clinical physicians further understand and familiarize the current clinical application status of spine surgical robots, thereby promoting the continuous improvement and popularization of RA technique, and ultimately benefiting numerous patients.

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Section: Clinical Application Scenarios For Spine Surgical Robotsmentioning

confidence: 99%

Spine Surgical Robotics: Current Status and Recent Clinical Applications

Wang,

Miao,

Zhan

et al. 2023

Neurospine

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show abstract

“…[30] Learning curve Surgeons must undergo a steep learning curve to become proficient in the use of robotic systems, which can prolong surgical times initially. [60] Limited applications Spinal surgery robots may not be suitable for all types of spinal surgeries, and their efficacy in certain procedures is yet to be established. [61,62] In conclusion, spinal surgery robots offer several advantages that can lead to improved patient outcomes and enhanced surgical precision.…”

Section: Costmentioning

confidence: 99%

The clinical application of artificial intelligence technology in spinal surgery

Feng,

Yang,

Zhang

et al. 2023

Med Robot

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Artificial intelligence (AI) is a field that investigates how to endow computers and computer-controlled machines with thecapability to imitate human intelligence. As a significant driving force for the new wave of technological revolution andindustrial transformation, AI has emerged as a research hotspot in the medical domain. The progress in AI technology hasprofoundly influenced medicine, particularly offering new opportunities for precision and automation in spinal surgery. AI, acomprehensive field, encompasses a variety of research areas such as machine learning (ML), deep learning (DL), computervision, natural language processing, and robotics, among others. These subfields intersect and potentially overlap to asignificant degree. Furthermore, robotics and AI, closely intertwined, maintain a symbiotic relationship. AI, a discipline withincomputer science, aspires to develop and implement intelligent machines, with robots exemplifying these creations inphysical form. AI equips robots with capabilities for environmental comprehension, information processing, decision-making,and learning. This review aims to examine the clinical application of AI technology in spinal surgery, with a focus ontraditional ML, DL, and robotics. We will discuss the merits and drawbacks of these technologies, as well as futuredevelopment trends.

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“…The precision, accuracy, and consistency offered by robotic assistance have the potential to significantly improve surgical outcomes, particularly in complex procedures such as cervical pedicle screw fixation 4 , 5 . However, adopting this technology is contingent upon a rigorous evaluation of its feasibility and safety 4 – 6 .…”

Section: Introductionmentioning

confidence: 99%

Feasibility and safety report on robotic assistance for cervical pedicle screw fixation: a cadaveric study

Ryu,

Ha,

Yoon

et al. 2024

Sci Rep

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This cadaveric study aimed to evaluate the safety and usability of a novel robotic system for posterior cervical pedicle screw fixation. Three human cadaveric specimens and C2-T3 were included. Freshly frozen human cadaver specimens were prepared and subjected to robot-assisted posterior cervical pedicle screw fixation using the robotic system. The accuracy of screw placement, breach rate, and critical structure violations were evaluated. The results were statistically compared with those of previous studies that used different robotic systems for cervical pedicle screw fixation. The robotic system demonstrated a high accuracy rate in screw placement. A significant number of screws were placed within predetermined safe zones. The total entry offset was 1.08 ± 0.83 mm, the target offset was 1.86 ± 0.50 mm, and the angle offset was 2.14 ± 0.77°. Accuracy rates comparable with those of previous studies using different robotic systems were achieved. The system was also feasible, allowing precise navigation and real-time feedback during the procedure. This cadaveric study validated the safety and usability of the novel robotic system for posterior cervical pedicle screw fixation. The system exhibited high precision in screw placement, and the results support the extension of the indications for robot-assisted pedicle screw fixation from the lumbar spine to the cervical spine.

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Robotics in Cervical Spine Surgery: Feasibility and Safety of Posterior Screw Placement

Cited by 12 publications

References 42 publications

Spine Surgical Robotics: Current Status and Recent Clinical Applications

Spine Surgical Robotics: Current Status and Recent Clinical Applications

The clinical application of artificial intelligence technology in spinal surgery

Feasibility and safety report on robotic assistance for cervical pedicle screw fixation: a cadaveric study

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