Technologic Evolution of Navigation and Robotics in Spine Surgery: A Historical Perspective

Mao, Jennifer; Agyei, Justice O.; Khan, Asham; Hess, Ryan M.; Jowdy, Patrick K.; Mullin, Jeffrey P.; Pollina, John

doi:10.1016/j.wneu.2020.08.224

Cited by 37 publications

(31 citation statements)

References 34 publications

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“…However, this study also has limitations. First of all, it is di cult to draw more reliable conclusions due to fewer cases (20). However, the purpose of this study is to illustrate the feasibility of a new treatment method for odontoid fractures, so a small sample size can basically be Meet the needs of research.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted Anterior Odontoid Screw for the Treatment of Type Ⅱ Odontoid Fractures: Safety and Effectiveness Analysis

Zhao

Yang

Hao

et al. 2021

Preprint

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Background: Anterior odontoid screw fixation is considered to be preferred surgical treatment for the type Ⅱ odontoid fractures. However, due to the high difficulty to insert odontoid screw with barehand, the high risk of screw misalignment and damage to surrounding important tissue structures, we urgently need robot-assisted screw insert navigation technology to improve the safety and accuracy of inserting odontoid screws.Methods: We retrospectively analyzed 7 patients with type II odontoid fractures who underwent Tinavi robot-assisted screw insert technology from May 2018 to May 2019 at our hospital. All patients had received 64-row CT scans and 3D reconstructions completed preoperatively, and magnetic resonance (MRI) were performed to verify the severity of odontoid fractures, soft tissue injuries and vertebral artery height. Postoperative CT was repeated in 6 months after surgery to evaluate cervical stability and confirm whether the screw had breached the bone cortex, the accuracy of screw placement based on Rampersaud A-D grade. Functional recovery was assessed using the post-traumatic Mayor scoring system for the cervical spine.Results: All 7 patients successfully completed the robot-assisted operation without nerve and blood vessel damage. What is the operation time 103.3 minutes, intraoperative blood loss 11.1 ml. The angulation and displacement of the fracture were basically corrected by closed reduction during the operation. Postoperative CT of these 7 patients showed that the cervical spine was stable, the accuracy of “perfect” and “clinically acceptable” odontoid screw implantation was 100% (7/7), none of the seven odontoid screws breached the bone cortex. Reexamination of X-rays showed that the fractures were all healed, and the average fracture healing time was average 13.7weeks (12-15weeks). During the follow-up period, 7 patients had no surgical complications, postoperative cervical spine trauma mayo score: excellent in 6 cases and good in 1 case. Conclusion: Tinavi robot-assisted screw insert technology is a minimally invasive, accurate, safe and feasible method for the treatment of type Ⅱ odontoid fractures.

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Section: Discussionmentioning

confidence: 99%

Robot-assisted Anterior Odontoid Screw for the Treatment of Type Ⅱ Odontoid Fractures: Safety and Effectiveness Analysis

Zhao

Yang

Hao

et al. 2021

Preprint

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“…Consequently, image guided spine surgery has become a valuable tool for performing minimally invasive spine surgeries ( 17 , 18 ). Several commercial systems have become available for cranial and spine procedures, with thousands of units being used in centers across the globe ( 18 – 20 ). The first reported robotic application in the neurosurgical field was for stereotactic brain biopsy utilizing the PUMA robot system.…”

Section: Introductionmentioning

confidence: 99%

Minimally-Invasive Assisted Robotic Spine Surgery (MARSS)

et al. 2022

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Minimally-Invasive robotic spine surgery (MARSS) has expanded the surgeons armamentarium to treat a variety of spinal disorders. In the last decade, robotic developments in spine surgery have improved the safety, accuracy and efficacy of instrumentation placement. Additionally, robotic instruments have been applied to remove tumors in difficult locations while maintaining minimally invasive access. Gross movements by the surgeon are translated into fine, precise movements by the robot. This is exemplified in this chapter with the use of the da Vinci robot to remove apical thoracic tumors. In this chapter, we will review the development, technological advancements, and cases that have been conducted using MARSS to treat spine pathology in a minimally invasive fashion.

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“…Spine disease is one of the most common diseases in surgery, with the neck and shoulder pain, vertigo, and headache as the main clinical manifestations, and some patients may also suffer from lower limb pain due to involvement, unable to walk upright, or even paralysis in the severe cases, which has adverse effects on the quality of life of patients [ 1 , 2 ]. In recent years, due to the interaction of a variety of factors, the incidence of spinal diseases increases year by year, and the clinical treatment of spinal diseases has become the main focus of attention [ 3 ]. Currently, drugs and surgery are usually used to treat spinal diseases.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Fast-Track Surgery with Pain Care on Postoperative Pain Improvement and Complication Prevention in Perioperative Spine Surgery Patients

Xie

Liu

et al. 2022

Emergency Medicine International

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Objective. The study aimed to analyze the effect of fast-track surgery with pain care on the improvement of postoperative pain and the prevention of postoperative complications in perioperative spinal surgery patients. Methods. A total of 126 patients undergoing spinal surgery from January 2021 to September 2021 were chosen as the study population, and the patients were classified into the regular group, the FTS group, and the combined group by random grouping, with 42 cases in each group. Patients in the regular group used routine perioperative care in spine surgery, patients in the FTS group used the FTS care model, and patients in the combined group combined special pain care on the basis of the FTS group. We compared the numeric rating scale (NRS) and pain severity of patients in the three groups post-op, 30 min, 1 h, 3 h, 6 h, and 24 h after surgery; we compared the time to get out of bed, length of stay, and occurrence of postoperative adverse effects in the three groups, compared the incidence of complications in the three groups, and compared the satisfaction of care in the three groups. Results. The NRS scores at 12 h, 24 h, 48 h, and 72 h post-op in the combined group and FTS group were lower than those in the regular group, and the NRS scores at 12 h and 24 h post-op in the combined group were lower than those in the FTS group (all P < 0.05 ); the post-op bed activity time, post-op hospitalization time, post-op adverse reaction rate, and post-op complication rate in the combined group and FTS group were shorter or lower than those of the regular group. Nursing satisfaction was higher than that of the regular group, the post-op time to bed activity in the combined group was shorter than that of the FTS group, and nursing satisfaction was higher than that of the FTS group (all P < 0.05 ). Conclusion. The use of FTS with pain care interventions helps relieve postoperative pain in perioperative patients in spine surgery, reduce the incidence of post-op adverse effects and complications in patients, accelerate their postoperative recovery, and improve nursing satisfaction.

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Technologic Evolution of Navigation and Robotics in Spine Surgery: A Historical Perspective

Cited by 37 publications

References 34 publications

Robot-assisted Anterior Odontoid Screw for the Treatment of Type Ⅱ Odontoid Fractures: Safety and Effectiveness Analysis

Robot-assisted Anterior Odontoid Screw for the Treatment of Type Ⅱ Odontoid Fractures: Safety and Effectiveness Analysis

Minimally-Invasive Assisted Robotic Spine Surgery (MARSS)

Analysis of Fast-Track Surgery with Pain Care on Postoperative Pain Improvement and Complication Prevention in Perioperative Spine Surgery Patients

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