Robotic-Assisted Spinal Surgery: Current Generation Instrumentation and New Applications

Clay M Elswick; Michael J Strong; Jacob R Joseph; Yamaan Saadeh; Mark Oppenlander; Paul Park

doi:10.1016/j.nec.2019.08.012

Robotic-Assisted Spinal Surgery: Current Generation Instrumentation and New Applications

Neurosurg Clin N Am. 2020 Jan;31(1):103-110. doi: 10.1016/j.nec.2019.08.012. Epub 2019 Oct 25.

Authors

Clay M Elswick¹, Michael J Strong¹, Jacob R Joseph¹, Yamaan Saadeh¹, Mark Oppenlander¹, Paul Park²

Affiliations

¹ Department of Neurosurgery, University of Michigan, 3552 Taubman Center, Box, 0338, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
² Neurological Surgery, Department of Neurosurgery, University of Michigan, 3552 Taubman Center, Box 0338, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address: ppark@med.umich.edu.

PMID: 31739920
DOI: 10.1016/j.nec.2019.08.012

Abstract

In contrast to other surgical fields, robotics is relatively new to spinal surgery. The initial focus for spinal robotics has been on accurate pedicle screw placement, which early studies have shown to be successful. Beyond pedicle screw placement, however, newer generation spinal robots have the capability of navigation, which can impact other aspects of a spinal procedure. In this study, pedicle screw placement with the recently introduced Excelsius GPS robot (Globus) was similarly found to be accurate in a cohort of patients undergoing both open and minimally invasive fusion. Potential applications of the spinal robot's navigation capability are demonstrated.

Keywords: Image guidance; Navigation; Pedicle screw; Robotics; Spine.

Publication types

Review

MeSH terms

Humans
Neuronavigation
Neurosurgical Procedures / methods*
Orthopedic Procedures / methods*
Pedicle Screws*
Robotic Surgical Procedures / methods*
Spinal Fusion / methods
Spine / surgery*