Single-Position Robotic-Assisted Prone Lateral Fusion: Technical Description and Feasibility.

IF 2.3 Q2 ORTHOPEDICS Asian Spine Journal Pub Date : 2024-02-01 Epub Date: 2024-02-21 DOI:10.31616/asj.2023.0215
Quan You Yeo, Martin H Pham, Jacob Yoong-Leong Oh
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Abstract

Single-position lateral interbody fusion surgery has gained traction over the years because of reduced surgical time and improved operating theater workflow. With the introduction of robotics in spine surgery, surgeons can place pedicle screws with a high degree of accuracy and efficiency; moreover, the robot allows us to localize the disk space and perform endplate preparation accurately with minimal radiation. In this study, we discuss the potential synergistic benefits of integrating robotic-assisted spine surgery and singleposition prone lateral surgery. We share our technique and provide the operative nuances of using the Mazor X Stealth Edition system (Medtronic, Minneapolis, MN, USA). We highlighted the potential synergistic benefits of integrating both the prone lateral and robotic-assisted surgical techniques, including the challenges encountered. This approach is not meant to replace other techniques or be used in all patients. Instead, it adds to our arsenal for managing spine fusion.

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单位置机器人辅助俯卧侧位融合术:技术描述与可行性。
由于手术时间缩短,手术室工作流程得到改善,单位置侧位椎间融合手术在过去几年得到了广泛推广。随着机器人技术在脊柱手术中的应用,外科医生可以高精度、高效率地放置椎弓根螺钉;此外,机器人还能让我们定位椎间盘空间,并在辐射最小的情况下准确地进行终板准备。在本研究中,我们讨论了将机器人辅助脊柱手术与单体位俯卧侧方手术相结合的潜在协同优势。我们分享了我们的技术,并介绍了使用 Mazor X Stealth Edition 系统(美敦力公司,美国明尼苏达州明尼阿波利斯市)的手术细微差别。我们强调了整合俯卧侧位和机器人辅助手术技术的潜在协同优势,包括遇到的挑战。这种方法并不是要取代其他技术或用于所有患者。相反,它为我们管理脊柱融合术增添了新的手段。
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来源期刊
Asian Spine Journal
Asian Spine Journal ORTHOPEDICS-
CiteScore
5.10
自引率
4.30%
发文量
108
审稿时长
24 weeks
期刊最新文献
A magnetic resonance imaging-based morphometric analysis of bilateral L1-L5 oblique lumbar interbody fusion corridor: feasibility of safe surgical approach and influencing factors. A novel pedicle screw design to maximize screw-bone interface strength using finite element analysis and design of experiment techniques. Factors related to surgical site infection in spinal instrumentation surgery: a retrospective study in Japan. Perioperative complications in patients aged ≥85 years undergoing spinal surgery: a retrospective comparative study of pre-old and old patients in Japan. A novel technique for posterior lumbar interbody fusion to obtain a good local lordosis angle: anterior-release posterior lumbar interbody fusion.
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