TY - JOUR
T1 - First spine surgery utilizing real-time image-guided robotic assistance
AU - Ahmed, A. Karim
AU - Zygourakis, Corinna C.
AU - Kalb, Samuel
AU - Zhu, Alex M.
AU - Molina, Camilo A.
AU - Jiang, Bowen
AU - Blitz, Ari M.
AU - Bydon, Ali
AU - Crawford, Neil R.
AU - Theodore, Nicholas
N1 - Publisher Copyright:
© 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - image guided surgery
KW - intraoperative imaging
KW - navigation
KW - neuronavigation
KW - neurosurgery
KW - pedicle screws
KW - registration
KW - robot-assisted
KW - robotics
KW - spine
UR - http://www.scopus.com/inward/record.url?scp=85062469838&partnerID=8YFLogxK
U2 - 10.1080/24699322.2018.1542029
DO - 10.1080/24699322.2018.1542029
M3 - Article
C2 - 30821536
AN - SCOPUS:85062469838
SN - 2469-9322
VL - 24
SP - 13
EP - 17
JO - Computer Assisted Surgery
JF - Computer Assisted Surgery
IS - 1
ER -