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

Document Type

Article

Abstract

© 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 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.

Keywords

image guided surgery, intraoperative imaging, navigation, neuronavigation, neurosurgery, pedicle screws, registration, robot-assisted, robotics, spine

Publication Date

1-1-2019

Publication Title

Computer Assisted Surgery

E-ISSN

24699322

Volume

24

Issue

1

First Page

13

Last Page

17

PubMed ID

30821536

Digital Object Identifier (DOI)

10.1080/24699322.2018.1542029

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