Robotic navigation during spine surgery: an update of literature.

IF 2.9 3区医学 Q3 ENGINEERING, BIOMEDICAL Expert Review of Medical Devices Pub Date : 2023-06-01 DOI:10.1080/17434440.2023.2200932

Qi Zhang, Xiao-Guang Han, Ming-Xing Fan, Jing-Wei Zhao, Zhao Lang, Ji-Le Jiang, Da He, Bo Liu, Wei Tian

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引用次数: 1

Abstract

Introduction: The application of robotic navigation during spine surgery has advanced rapidly over the past two decades, especially in the last 5 years. Robotic systems in spine surgery may offer potential advantages for both patients and surgeons. This article serves as an update to our previous review and explores the current status of spine surgery robots in clinical settings.

Areas covered: We evaluated the literature published from 2020 to 2022 on the outcomes of robotics-assisted spine surgery, including accuracy and its influencing factors, radiation exposure, and follow-up results.

Expert opinion: The application of robotics in spine surgery has driven spine surgery into a new era of precision treatment through a form of artificial intelligence assistance that compensates for the limitations of human abilities. Modularized robot configurations, intelligent alignment and planning incorporating multimodal images, efficient and simple human - machine interaction, accurate surgical status monitoring, and safe control strategies are the main technical features for the development of orthopedic surgical robots. The use of robotics-assisted decompression, osteotomies, and decision-making warrants further study. Future investigations should focus on patients' needs while continuing to explore in-depth medical - industrial collaborative development innovations that improve the overall utilization of artificial intelligence and sophistication in disease treatment.

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脊柱手术中的机器人导航:文献更新。

导读:机器人导航在脊柱外科手术中的应用在过去的二十年中，特别是在最近的五年中发展迅速。脊柱手术中的机器人系统可能为患者和外科医生提供潜在的优势。这篇文章是我们之前综述的更新，并探讨了脊柱手术机器人在临床环境中的现状。涵盖领域:我们评估了2020年至2022年发表的关于机器人辅助脊柱手术结果的文献，包括准确性及其影响因素、辐射暴露和随访结果。专家意见:机器人技术在脊柱外科手术中的应用，通过人工智能辅助的形式，弥补了人类能力的局限性，将脊柱外科手术推向了一个精确治疗的新时代。模块化的机器人配置、融合多模态图像的智能对齐和规划、高效简单的人机交互、精确的手术状态监测和安全的控制策略是骨科手术机器人发展的主要技术特点。机器人辅助减压、截骨和决策的应用值得进一步研究。未来的研究应关注患者的需求，同时继续探索深入的医疗-产业协同发展创新，以提高人工智能在疾病治疗中的整体利用和复杂性。

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来源期刊

Expert Review of Medical Devices 医学-工程：生物医学

CiteScore

5.90

自引率

3.20%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal serves the device research community by providing a comprehensive body of high-quality information from leading experts, all subject to rigorous peer review. The Expert Review format is specially structured to optimize the value of the information to reader. Comprehensive coverage by each author in a key area of research or clinical practice is augmented by the following sections: Expert commentary - a personal view on the most effective or promising strategies Five-year view - a clear perspective of future prospects within a realistic timescale Key issues - an executive summary cutting to the author''s most critical points In addition to the Review program, each issue also features Medical Device Profiles - objective assessments of specific devices in development or clinical use to help inform clinical practice. There are also Perspectives - overviews highlighting areas of current debate and controversy, together with reports from the conference scene and invited Editorials.