Technique: Open lumbar decompression and fusion with the Excelsius GPS robot
© AANS 2018, EXCEPT WHERE PROHIBITED BY US COPYRIGHT LAW. The Excelsius GPS (Globus Medical, Inc.) was approved by the FDA in 2017. This novel robot allows for real-time intraoperative imaging, registration, and direct screw insertion through a rigid external arm-without the need for interspinous clamps or K-wires. The authors present one of the first operative cases utilizing the Excelsius GPS robotic system in spinal surgery. A 75-year-old man presented with severe lower back pain and left leg radiculopathy. He had previously undergone 3 decompressive surgeries from L3 to L5, with evidence of instability and loss of sagittal balance. Robotic assistance was utilized to perform a revision decompression with instrumented fusion from L3 to S1. The usage of robotic assistance in spinal surgery may be an invaluable resource in minimally invasive cases, minimizing the need for fluoroscopy, or in those with abnormal anatomical landmarks.
Excelsius GPS, Lumbar decompression, Robotic spine surgery, Video
Digital Object Identifier (DOI)
Zygourakis, Corinna C.; Ahmed, A. Karim; Kalb, Samuel; Zhu, Alex M.; Bydon, Ali; Crawford, Neil R.; and Theodore, Nicholas, "Technique: Open lumbar decompression and fusion with the Excelsius GPS robot" (2018). Translational Neuroscience. 734.