Robotics in the MIS Spine Surgery Arena: A New Role to Advance the Adoption of Endoscopic Surgery as the Least Invasive Spine Surgery Procedure

@article{Yeung2017RoboticsIT,
  title={Robotics in the MIS Spine Surgery Arena: A New Role to Advance the Adoption of Endoscopic Surgery as the Least Invasive Spine Surgery Procedure},
  author={Anthony Tung Yeung},
  journal={Journal of Spine},
  year={2017},
  volume={2017},
  pages={1-6}
}
  • A. Yeung
  • Published 13 May 2017
  • Medicine
  • Journal of Spine
The role of robotics is gaining prominence as the technology of the future. In traditional spine surgery, accuracy of hardware placement, selection of ideal size and length of implanted screws and hardware for segmental fixation is desired and important even for experienced surgeons. Hardware placement in tight spaces is especially critical in the cervical and thoracic spine. Robotics will enhance patient safety as well as surgical results, for the protection of patients. By reducing surgical… 

Endoscopic Surgery of the Spine as a Multi-Disciplinary Subspecialty for Appropriately Trained, and Experienced Providers

Endoscopic surgery is the least minimally invasive surgical platform that will facilitate a move away from fusion as a first line of surgical treatment, delaying or eliminating fusion for patients who may have indications for decompression and fusion, but do well with an earlier and staged procedure that will mitigate the need for open decompressionand fusion.

The role of endoscopic surgery in the treatment of painful conditions of an aging spine: State of the art

Endoscopic spine surgeons bridge the major gap between fusion-oriented spinal surgeons and pain management physicians, and represents a path between traditional open decompression with or without fusion and the more temporary techniques of pain management.

In-vivo Endoscopic Visualization of Pain Generators in the Lumbar Spine

The physiology of pain can be visualized, and treated surgically as the path-anatomy of a pain generator, to demonstrate that the endoscopic foraminal approach has advantages over traditional surgical approaches.

Thoracic Endoscopic Spine Surgery: A Comprehensive Review

There is a high rate of positive outcomes with endoscopic thoracic spine surgery, which reduces tissue dissection, intraoperative blood loss, and epidural fibrosis, however, the technical challenge highlights the importance of further training and innovation in this rapidly evolving field.

Surgeon training and clinical implementation of spinal endoscopy in routine practice: results of a global survey.

The majority of spine surgeons reported more than half of their cases employing MISST at a high skill level, and very few MISST surgeons are fellowship trained but attend workshops and various meetings suggesting that many of them are self-thought.

Development of Percutaneous Endoscopic Lumbar Discectomy (PELD)Technology in China

A rapidly increasing number of surgeries along with improving results will continue to drive this minimally invasive surgical method to China that bridges the gap between non-surgical pain management, physical medicine, and surgical intervention that focuses on the patho-anatomy and patho -physiology of spinal conditions of pain.

Regional variations in acceptance, and utilization of minimally invasive spinal surgery techniques among spine surgeons: results of a global survey.

The rate of implementation of MISST into day-to-day clinical practice reported by spine surgeons was universally higher than the perceived acceptance rates of MIS ST into the mainstream by their peers in their practice area.

Transforaminal Endoscopic Decompression of the Lumbar Spine for Stable Isthmic Spondylolisthesis as the Least Invasive Surgical Treatment Using the YESS Surgery Technique

This study was initiated due to favorable results in relieving both back and leg pain after a spine surgeon with isthmic spondylolisthesis who wanted to avoid fusion requested consideration for an endoscopic procedure for his ownIsthmicSpine Surgery condition.

Use of “Inside-Out” Technique for Direct Visualization of a Vacuum Vertically Unstable Intervertebral Disc During Routine Lumbar Endoscopic Transforaminal Decompression—A Correlative Study of Clinical Outcomes and the Prognostic Value of Lumbar Radiographs

A vacuum phenomenon seen on lumbar x-rays is highly specific for a source of one component that is actually a multiple source of nonspecific common back pain.

An Origami-Based Medical Support System to Mitigate Flexible Shaft Buckling

Varying parameters of a triangulated cylindrical origami pattern were combined to create an effective highly compressible anti-buckling system that maintains a constant inner diameter for supporting an instrument and a constant outer diameter throughout actuation.

References

SHOWING 1-10 OF 10 REFERENCES

Robotic technology in spine surgery: current applications and future developments.

Pilot studies on efficacy, implementation into neurosurgical operating room work flow proved the accuracy of the system, and the advantages and disadvantages must be delicately sorted out.

Clinical Pedicle Screw Accuracy and Deviation From Planning in Robot-Guided Spine Surgery: Robot-Guided Pedicle Screw Accuracy

It is concluded that robotic guidance allows for highly accurate execution of the preoperative plan, leading to accurate screw placement, in patients who underwent pedicular screw fixation in a community hospital setting.

[Failed back surgery syndrome].

  • K. Otani
  • Medicine
    Masui. The Japanese journal of anesthesiology
  • 2010

Surgery

Robotics in the MIS Spine Surgery Arena: A New Role to Advance the Adoption of Endoscopic Surgery as the Least Invasive Spine Surgery Procedure

In endoscopic surgery, improving the accuracy of endoscopic trajectories with image guidance will also bring this aspect of MIS surgery to the surgical mainstream, and robotics will enhance patient safety as well as surgical results, for the protection of patients.

Robotic-assisted pedicle screw placement: lessons learned from the first 102 patients

This study evaluates the outcomes of robotic-assisted screw placement in a consecutive series of 102 patients, finding that image and/or robotic guidance for spinal implant placement is increasing and may be particularly useful in patients with challenging anatomy.

Clinical pedicle screw accuracy and deviation from planning in robotguided spine surgery. Spine 40: E986-E991

  • 2015

Current applications and future developments

  • Acta Neurochir Suppl 109: 241-245. Citation: Yeung AT
  • 2017

Discogenic and axial back pain, (selective endoscopic discectomy (Figures 12-14) and dorsal rhizotomy)