机器人辅助脊柱手术的现状与展望。

IF 2.7 Expert review of medical devices Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI:10.1080/17434440.2025.2467779
Zhang Qi, He Da, Fang Yanming, Fan Mingxing
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引用次数: 0

摘要

传统的脊柱外科手术经常受到许多挑战的阻碍,包括基础解剖的复杂性,手术位置的深度和有限的能见度。这些因素共同导致操作时间延长和精度降低。机器人辅助脊柱手术的出现带来了一种变革性的解决方案,特别是在螺钉放置方面。机器人辅助脊柱手术具有提高准确性和安全性的潜力,同时最大限度地减少软组织损伤。涵盖领域:本文介绍了脊柱外科机器人系统的现状。机器人辅助技术的主要优点包括螺钉置入的高精度、强大的成像能力、减少外科医生的疲劳,以及远程操作的潜力,从而解决了医疗保健服务的差异。临床研究表明,机器人辅助技术可显著提高螺钉置入的准确性,并可减少术后并发症的发生率。诸如成本、技术限制和需要全面临床指南等挑战仍然存在。专家意见:预计手术导航、人工智能集成和机器人功能扩展的未来进步将进一步提高机器人辅助脊柱手术的疗效,有可能改善患者的治疗效果,并促进临床实践中更广泛的采用。
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Current status and prospects of robot-assisted spine surgery.

Introduction: Traditional spine surgery is frequently impeded by a number of challenges, including the complexity of the underlying anatomy, the depth of the surgical locations, and the limited visibility. These factors can collectively result in prolonged operation times and a reduction in the precision. The advent of robot-assisted spine surgery has brought about a transformative solution, particularly in the context of screw placement. Robot-assisted spine surgery has the potential to enhance accuracy and safety while minimizing soft tissue damage.

Areas covered: This article presents a review of the current state of robot systems in spine surgery. The principal advantages of robot-assisted technology include high precision in screw placement, robust imaging capabilities, reduced surgeon fatigue, and the potential for remote operation, thereby addressing disparities in healthcare access. Clinical studies indicate that robot-assisted techniques significantly improve the accuracy of screw placement and may reduce the incidence of postoperative complications. Challenges such as cost, technology limitations, and the need for comprehensive clinical guidelines persist.

Expert opinion: It is anticipated that future advancements in surgical navigation, artificial intelligence integration and the expansion of robot functions will further enhance the efficacy of robot-assisted spine surgery, with the potential to improve patient outcomes and facilitate broader adoption in clinical practice.

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