Jiangtao Wang, Junxian Miao, Yi Zhan, Yongchao Duan, Yuanshun Wang, Dingjun Hao, Biao Wang
{"title":"Spine Surgical Robotics: Current Status and Recent Clinical Applications.","authors":"Jiangtao Wang, Junxian Miao, Yi Zhan, Yongchao Duan, Yuanshun Wang, Dingjun Hao, Biao Wang","doi":"10.14245/ns.2346610.305","DOIUrl":null,"url":null,"abstract":"<p><p>With the development of artificial intelligence and the further deepening of medical-engineering integration, spine surgical robot-assisted (RA) technique has made significant progress and its applicability in clinical practice is constantly expanding in recent years. In this review, we have systematically summarized the majority of literature related to spine surgical robots in the past decade, and not only classified robots accordingly, but also summarized the latest research progress in RA technique for screw placement such as cervical, thoracic, and lumbar pedicle screws, cortical bone trajectory screws, cervical lateral mass screws, and S2 sacroiliac screws; guiding targeted puncture and placement of endoscope via the intervertebral foramen; complete resection of spinal tumor tissue; and decompressive laminectomy. In addition, this report also provides a detailed evaluation of RA technique's advantages and disadvantages, and clarifies the accuracy, safety, and practicality of RA technique. We consider that this review can help clinical physicians further understand and familiarize the current clinical application status of spine surgical robots, thereby promoting the continuous improvement and popularization of RA technique, and ultimately benefiting numerous patients.</p>","PeriodicalId":19269,"journal":{"name":"Neurospine","volume":"20 4","pages":"1256-1271"},"PeriodicalIF":3.8000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10762389/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurospine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.14245/ns.2346610.305","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/31 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
With the development of artificial intelligence and the further deepening of medical-engineering integration, spine surgical robot-assisted (RA) technique has made significant progress and its applicability in clinical practice is constantly expanding in recent years. In this review, we have systematically summarized the majority of literature related to spine surgical robots in the past decade, and not only classified robots accordingly, but also summarized the latest research progress in RA technique for screw placement such as cervical, thoracic, and lumbar pedicle screws, cortical bone trajectory screws, cervical lateral mass screws, and S2 sacroiliac screws; guiding targeted puncture and placement of endoscope via the intervertebral foramen; complete resection of spinal tumor tissue; and decompressive laminectomy. In addition, this report also provides a detailed evaluation of RA technique's advantages and disadvantages, and clarifies the accuracy, safety, and practicality of RA technique. We consider that this review can help clinical physicians further understand and familiarize the current clinical application status of spine surgical robots, thereby promoting the continuous improvement and popularization of RA technique, and ultimately benefiting numerous patients.
随着人工智能的发展和医工结合的进一步深化,近年来脊柱手术机器人辅助(RA)技术取得了长足的进步,其在临床实践中的应用范围也在不断扩大。在这篇综述中,我们系统地总结了近十年来与脊柱手术机器人相关的大部分文献,不仅对机器人进行了相应的分类,还总结了RA技术在螺钉置入方面的最新研究进展,如颈、胸、腰椎椎弓根螺钉、皮质骨轨迹螺钉、颈椎侧块螺钉和S2骶髂螺钉等;通过椎间孔引导定向穿刺和内窥镜置入;脊柱肿瘤组织的完全切除;以及椎板减压切除术。此外,本报告还详细评估了 RA 技术的优缺点,明确了 RA 技术的准确性、安全性和实用性。我们认为,本综述有助于临床医生进一步了解和熟悉脊柱手术机器人的临床应用现状,从而促进 RA 技术的不断完善和普及,最终造福众多患者。