Robotic Assisted Spinal Surgery

Advantages and Disadvantages of Robotic Assisted Spinal Surgery

Spinal surgery interventions benefit from fine motor skills, experienced surgeons and the best technology. This review describes the advantages and disadvantages of robotic spine surgery, as well as the most common applications and various types of Robotic Spine Surgery.

The most commonly used robotic systems in spinal surgery are the master slave system and the trajectory support robot. So far, robotic systems have been used in various types of spinal surgery, including posterior instruments, tumor resection and vertebroplasty.

Robot-assisted spinal surgery is an area of ongoing research, and new research directions may lead to the development of completely different robotic surgical devices in the future.

Benefits Of Robotic Spine Surgery

The correct drawing guide for spinal surgery can be used to identify the correct position and heel during the procedure and is one of the most important tools in surgical equipment.

Improper attachment of screws can cause instability and damage to nerves, blood vessels and internal organs. 1% to 54% of spine surgeries reported complications associated with misplacement, 18 indicating that surgeons need to improve the accuracy and consistency of pedicle screw placement.

This high complication rate is the main reason for the development of computer-assisted navigation systems and robotic spine surgery. By positioning the catheter over the intended target, the robot can help the spine surgeon improve and increase accuracy by increasing the surgeon's hand movements, reducing vibration, and minimizing radiation. Some retrospective analyzes show that the accuracy between robot support and conventional bolt insertion techniques is comparable.

Minimal Invasiveness

Theoretically, robotic systems can increase intra-system positioning, especially for patients with more anatomical challenges, while allowing access through smaller incisions. The development of robotic manipulator systems and small and small cameras, which can be installed in very narrow areas, enables this possibility. Minimally invasive surgery offers many benefits to patients: fewer incisions, lower risk of infection, minimal muscle contraction, reduced postoperative pain, use of opioids and length of stay.

Radiation Exposure

Another important theoretical advantage is that robotic spine surgery, particularly minimally invasive surgery, can reduce radiation exposure because robotic placement reduces the need for intraoperative fluoroscopy. Radiation exposure is a health risk for healthcare professionals and a growing problem.

Operative Time

Theoretically, operating time can be reduced if the robot is more easily accessed through rapid response and maintains a precise and accurate surgical pathway through minimally invasive exposure. However, other factors related to uptime must be considered: Installation and registration of the robot will require additional installation time, and the surgeon must schedule a time to identify the desired trajectory.


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