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Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts

The use of robotic systems to aid in surgical procedures has greatly increased over the past decade. Fields such as general surgery, urology, and gynecology have widely adopted robotic surgery as part of everyday practice. The use of robotic systems in the field of spine surgery has recently begun t...

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Autores principales: Farber, S. Harrison, Pacult, Mark A., Godzik, Jakub, Walker, Corey T., Turner, Jay D., Porter, Randall W., Uribe, Juan S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940754/
https://www.ncbi.nlm.nih.gov/pubmed/33708791
http://dx.doi.org/10.3389/fsurg.2021.578674
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author Farber, S. Harrison
Pacult, Mark A.
Godzik, Jakub
Walker, Corey T.
Turner, Jay D.
Porter, Randall W.
Uribe, Juan S.
author_facet Farber, S. Harrison
Pacult, Mark A.
Godzik, Jakub
Walker, Corey T.
Turner, Jay D.
Porter, Randall W.
Uribe, Juan S.
author_sort Farber, S. Harrison
collection PubMed
description The use of robotic systems to aid in surgical procedures has greatly increased over the past decade. Fields such as general surgery, urology, and gynecology have widely adopted robotic surgery as part of everyday practice. The use of robotic systems in the field of spine surgery has recently begun to be explored. Surgical procedures involving the spine often require fixation via pedicle screw placement, which is a task that may be augmented by the use of robotic technology. There is little margin for error with pedicle screw placement, because screw malposition may lead to serious complications, such as neurologic or vascular injury. Robotic systems must provide a degree of accuracy comparable to that of already-established methods of screw placement, including free-hand, fluoroscopically assisted, and computed tomography–assisted screw placement. In the past several years, reports have cataloged early results that show the robotic systems are associated with equivalent accuracy and decreased radiation exposure compared with other methods of screw placement. However, the literature is still lacking with regard to long-term outcomes with these systems. This report provides a technical overview of robotics in spine surgery based on experience at a single institution using the ExcelsiusGPS (Globus Medical; Audobon, PA, USA) robotic system for pedicle screw fixation. The current state of the field with regard to salient issues in robotics and future directions for robotics in spinal surgery are also discussed.
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spelling pubmed-79407542021-03-10 Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts Farber, S. Harrison Pacult, Mark A. Godzik, Jakub Walker, Corey T. Turner, Jay D. Porter, Randall W. Uribe, Juan S. Front Surg Surgery The use of robotic systems to aid in surgical procedures has greatly increased over the past decade. Fields such as general surgery, urology, and gynecology have widely adopted robotic surgery as part of everyday practice. The use of robotic systems in the field of spine surgery has recently begun to be explored. Surgical procedures involving the spine often require fixation via pedicle screw placement, which is a task that may be augmented by the use of robotic technology. There is little margin for error with pedicle screw placement, because screw malposition may lead to serious complications, such as neurologic or vascular injury. Robotic systems must provide a degree of accuracy comparable to that of already-established methods of screw placement, including free-hand, fluoroscopically assisted, and computed tomography–assisted screw placement. In the past several years, reports have cataloged early results that show the robotic systems are associated with equivalent accuracy and decreased radiation exposure compared with other methods of screw placement. However, the literature is still lacking with regard to long-term outcomes with these systems. This report provides a technical overview of robotics in spine surgery based on experience at a single institution using the ExcelsiusGPS (Globus Medical; Audobon, PA, USA) robotic system for pedicle screw fixation. The current state of the field with regard to salient issues in robotics and future directions for robotics in spinal surgery are also discussed. Frontiers Media S.A. 2021-02-23 /pmc/articles/PMC7940754/ /pubmed/33708791 http://dx.doi.org/10.3389/fsurg.2021.578674 Text en Copyright © 2021 Farber, Pacult, Godzik, Walker, Turner, Porter and Uribe. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Farber, S. Harrison
Pacult, Mark A.
Godzik, Jakub
Walker, Corey T.
Turner, Jay D.
Porter, Randall W.
Uribe, Juan S.
Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts
title Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts
title_full Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts
title_fullStr Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts
title_full_unstemmed Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts
title_short Robotics in Spine Surgery: A Technical Overview and Review of Key Concepts
title_sort robotics in spine surgery: a technical overview and review of key concepts
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7940754/
https://www.ncbi.nlm.nih.gov/pubmed/33708791
http://dx.doi.org/10.3389/fsurg.2021.578674
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