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New spinal robotic technologies |
Bowen Jiang1, Tej D. Azad2, Ethan Cottrill1, Corinna C. Zygourakis1, Alex M. Zhu1, Neil Crawford3, Nicholas Theodore1() |
1. Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA 2. Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305, USA 3. Globus Medical, Inc., Audubon, PA 19403, USA |
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Abstract Robotic systems in surgery have developed rapidly. Installations of the da Vinci Surgical System® (Intuitive Surgical, Sunnyvale, CA,, USA), widely used in urological and gynecological procedures, have nearly doubled in the United States from 2010 to 2017. Robotics systems in spine surgery have been adopted more slowly; however, users are enthusiastic about their applications in this subspecialty. Spinal surgery often requires fine manipulation of vital structures that must be accessed via limited surgical corridors and can require repetitive tasks over lengthy periods of time — issues for which robotic assistance is well-positioned to complement human ability. To date, the United States Food and Drug Administration (FDA) has approved 7 robotic systems across 4 companies for use in spinal surgery. The available clinical data evaluating their efficacy have generally demonstrated these systems to be accurate and safe. A critical next step in the broader adoption of surgical robotics in spine surgery is the design and implementation of rigorous comparative studies to interrogate the utility of robotic assistance. Here we discuss current applications of robotics in spine surgery, review robotic systems FDA-approved for use in spine surgery, summarize randomized controlled trials involving robotics in spine surgery, and comment on prospects of robotic-assisted spine surgery.
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Keywords
robotics
spine surgery
Mazor
ExcelsiusGPS
ROSA
pedicle screw
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Corresponding Author(s):
Nicholas Theodore
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Just Accepted Date: 04 September 2019
Online First Date: 01 November 2019
Issue Date: 16 December 2019
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