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S6-4
The Application of Robotics in minimally invasive spine surgery
Chih-Lung Lin, M.D.,Ph.D
School of Medicine, Kaohsiung Medical University
Department of Neurosurgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
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Robotics has shown its potential advantages and versatility in spinal surgical fields, including screw and rod insertion, tumor resections and ablations, vertebroplasties, and anesthetic blocks. Robot assisted spine surgery affords the surgeon a significant improvement in coordination, 3D visualization, and a reduction in fatigue, and it offers the patient a better outcome with fewer complications including the following: a smaller incision, reduced blood loss, a high degree of precision in spinal instrumentation and thus eliminating dural and neurovascular injuries, lower risk of infection, minimal muscle retraction and postoperative pain, decrease in revision surgeries, and shortened length of recovery and hospital stay. Robots can theoretically diminish harmful exposure to ionizing radiation in patients as well as the operative team in minimally invasive spine surgery.
Some studies have published potential limitations to robotic spine surgery, such as the increased time required for both preoperative planning and intraoperative use, the need of a learning curve of surgical team members, and the significant cost.
However, both retrospective and prospective studies show contradictory results, further investigation to resolve the discrepancies and substantiate that the increased costs will result in significant benefits t is required.
From May, 2013 to October, 2015, there were 500 patients with 2,400 pedicle screws placement undergoing Robot assisted spine surgery in Kaohsiung Medical University Hospital. The accuracy, outcomes and complications will be presented and discussed. |
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