First spine surgery utilizing real-time image-guided robotic assistance

Computer Assisted Surgery

Ari M. Blitz¹  A. Karim Ahmed²  Corinna C. Zygourakis²  Bowen Jiang²  Alex M. Zhu²  Nicholas Theodore²  Ali Bydon²  Camilo A. Molina²  Samuel Kalb³  Neil R. Crawford⁴ 

[1] Department of Neuroradiology, Johns Hopkins School of Medicine, Baltimore, MD, US;Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA;Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA;Division of Neurological Surgery, Barrow Neurological Institute, St Joseph’s Hospital and Medical Center, Phoenix, AZ, USA;Division of Neurological Surgery, Barrow Neurological Institute, St Joseph’s Hospital and Medical Center, Phoenix, AZ, USA;

关键词: spine;    robot-assisted;    robotics;    registration;    pedicle screws;    neurosurgery;    neuronavigation;    navigation;    image guided surgery;    intraoperative imaging;   

DOI  :  10.1080/24699322.2018.1542029

来源: publisher

【 摘 要 】

Robotics in spinal surgery has significant potential benefits for both surgeons and patients, including reduced surgeon fatigue, improved screw accuracy, decreased radiation exposure, greater options for minimally invasive surgery, and less time required to train residents on techniques that can have steep learning curves. However, previous robotic systems have several drawbacks, which are addressed by the innovative ExcelsiusGPSTM robotic system. The robot is secured to the operating room floor, not the patient. It has a rigid external arm that facilitates direct transpedicular drilling and screw placement, without requiring K-wires. In addition, the ExcelsisuGPSTM has integrated neuronavigation, not present in other systems. It also has surveillance marker that immediately alerts the surgeon in the event of loss of registration, and a lateral force meter to alert the surgeon in the event of skiving. Here, we present the first spinal surgery performed with the assistance of this newly approved robot. The surgery was performed with excellent screw placement, minimal radiation exposure to the patient and surgeon, and the patient had a favorable outcome. We report the first operative case with the ExcelsisuGPSTM, and the first spine surgery utilizing real-time image-guided robotic assistance.

【 授权许可】

CC BY