Advancements in Robotic-Assisted Spine Surgery.

Journal: Neurosurgery clinics of North America
Published Date:

Abstract

Applications and workflows around spinal robotics have evolved since these systems were first introduced in 2004. Initially approved for lumbar pedicle screw placement, the scope of robotics has expanded to instrumentation across different regions. Additionally, precise navigation can aid in tumor resection or spinal lesion ablation. Robot-assisted surgery can improve accuracy while decreasing radiation exposure, length of hospital stay, complication, and revision rates. Disadvantages include increased operative time, dependence on preoperative imaging among others. The future of robotic spine surgery includes automated surgery, telerobotic surgery, and the inclusion of machine learning or artificial intelligence in preoperative planning.

Authors

  • A Daniel Davidar
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Kelly Jiang
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Carly Weber-Levine
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Meghana Bhimreddy
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Nicholas Theodore
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Orthopaedic Surgery & Biomedical Engineering, Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: theodore@jhmi.edu.