Spinal Robotics
Top Cited Papers
- 1 January 2013
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Neurosurgery
- Vol. 72 (Supplement), A12-A18
- https://doi.org/10.1227/neu.0b013e318270d02c
Abstract
Even though robotic technology holds great potential for performing spinal surgery and advancing neurosurgical techniques, it is of utmost importance to establish its practicality and to demonstrate better clinical outcomes compared with traditional techniques, especially in the current cost-effective era. Several systems have proved to be safe and reliable in the execution of tasks on a routine basis, are commercially available, and are used for specific indications in spine surgery. However, workflow, usability, interdisciplinary setups, efficacy, and cost-effectiveness have to be proven prospectively. This article includes a short description of robotic structures and workflow, followed by preliminary results of a randomized prospective study comparing conventional free-hand techniques with routine spine navigation and robotic-assisted procedures. Additionally, we present cases performed with a spinal robotic device, assessing not only the accuracy of the robotic-assisted procedure but also other factors (eg, minimal invasiveness, radiation dosage, and learning curves). Currently, the use of robotics in spinal surgery greatly enhances the application of minimally invasive procedures by increasing accuracy and reducing radiation exposure for patients and surgeons compared with standard procedures. Second-generation hardware and software upgrades of existing devices will enhance workflow and intraoperative setup. As more studies are published in this field, robot-assisted therapies will gain wider acceptance in the near future.Keywords
This publication has 15 references indexed in Scilit:
- Acute Hospital Costs After Minimally Invasive Versus Open Lumbar Interbody FusionJournal of Spinal Disorders & Techniques, 2012
- Assessment of Pedicle Screw Placement Accuracy, Procedure Time, and Radiation Exposure Using a Miniature Robotic Guidance SystemJournal of Spinal Disorders & Techniques, 2012
- Perioperative course and accuracy of screw positioning in conventional, open robotic-guided and percutaneous robotic-guided, pedicle screw placementEuropean Spine Journal, 2011
- Robot-assisted anterior lumbar interbody fusion (ALIF) using retroperitoneal approachActa Neurochirurgica, 2009
- Surgical site infection rates after minimally invasive spinal surgeryJournal of Neurosurgery: Spine, 2009
- Cooperative robotic assistant with drill‐by‐wire end‐effector for spinal fusion surgeryIndustrial Robot: the international journal of robotics research and application, 2009
- Experiments on robot-assisted navigated drilling and milling of bones for pedicle screw placementInternational Journal of Medical Robotics and Computer Assisted Surgery, 2006
- Medical robotics in computer-integrated surgeryIEEE Transactions on Robotics and Automation, 2003
- Use of the NeuroMate Stereotactic Robot in a Frameless Mode for Movement Disorder SurgeryStereotactic and Functional Neurosurgery, 2003
- Potential Use of Robots in Endoscopic NeurosurgeryActa neurochirurgica. Supplement, 1992