Is there a difference between navigated and non-navigated robot cohorts in robot-assisted spine surgery? A multicenter, propensity-matched analysis of 2,800 screws and 372 patients.

Journal: The spine journal : official journal of the North American Spine Society
Published Date: May 19, 2021

Abstract

BACKGROUND CONTEXT: Robot-assisted spine surgery continues to rapidly develop as evidenced by the growing literature in recent years. In addition to demonstrating excellent pedicle screw accuracy, early studies have explored the impact of robot-assisted spine surgery on reducing radiation time, length of hospital stay, operative time, and perioperative complications in comparison to conventional freehand technique. Recently, the Mazor X Stealth Edition was introduced in 2018. This robotic system integrates Medtronic's Stealth navigation technology into the Mazor X platform, which was introduced in 2016. It is unclear what the impact of these advancements have made on clinical outcomes.

Authors

  • Nathan J Lee
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA. Electronic address: njl2116@cumc.columbia.edu.
  • Scott L Zuckerman
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Ian A Buchanan
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Venkat Boddapati
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Justin Mathew
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Eric Leung
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Paul J Park
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Martin H Pham
    Department of Neurosurgery, University of San Diego Health, Sand Diego, CA, USA.
  • Avery L Buchholz
    Department of Neurosurgery, University of Virginia Health System, Charlottesville, VA, USA.
  • Asham Khan
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
  • John Pollina
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
  • Jeffrey P Mullin
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
  • Ehsan Jazini
    Department of Orthopaedics, Virginia Spine Institute, Reston, VA, USA.
  • Colin Haines
    Department of Orthopaedics, Virginia Spine Institute, Reston, VA, USA.
  • Thomas C Schuler
    Department of Orthopaedics, Virginia Spine Institute, Reston, VA, USA.
  • Christopher R Good
    Department of Orthopaedics, Virginia Spine Institute, Reston, VA, USA.
  • Joseph M Lombardi
    Department of Orthopaedic Surgery, Columbia University Medical Center, The Spine Hospital at New York Presbyterian, New York, NY, USA.
  • Ronald A Lehman
    Division of Spine Surgery, Columbia University Department of Orthopedic Surgery, The Spine Hospital at New York Presbyterian/Allen, 5141 Broadway, New York, NY 10034, USA.

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