Accuracy and clinical characteristics of robot-assisted cervical spine surgery: a systematic review and meta-analysis

Wu, Jiayuan; Fan, Mingxing; He, Da; Wei, Yi; Duan, Fangfang; Jiang, Xieyuan; Tian, Wei

doi:10.1007/s00264-024-06179-4

International Orthopaedics (SICOT)

2024

DOI: 10.1007/s00264-024-06179-4

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Accuracy and clinical characteristics of robot-assisted cervical spine surgery: a systematic review and meta-analysis

Jiayuan Wu,

Mingxing Fan,

Da He

et al.

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Cited by 2 publications

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Enabling Technologies in the Management of Cervical Spine Trauma

Menta,

Fuleihan,

et al. 2024

Clinical Spine Surgery

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Study Design: Narrative review. Objective: The objective of this study is to explore and evaluate the role of novel technologies in enhancing the diagnosis, surgical precision, and rehabilitation of cervical spine trauma, and to discuss their potential impact on clinical outcomes. Summary of Background Data: Traumatic cervical spine injuries are challenging to manage due to their complex anatomy, the potential for long-term disability, and severe neurological deficits. Traditional management approaches are being supplemented by emerging technologies that promise to improve patient care and outcomes. Methods: A literature review was conducted to identify and analyze advancements in imaging, navigation, robotics, and wearable technologies in the context of cervical spine trauma. The review focuses on the potential of these technologies to improve early detection, surgical accuracy, and postoperative recovery. Results: Technological innovations, including advanced imaging techniques, machine learning for diagnostics, augmented reality, and robotic-assisted surgery, are transforming the management of cervical spine trauma. These tools contribute to more efficient, accurate, and personalized treatment approaches, potentially improving clinical outcomes and reducing patient care burdens. Conclusions: Although these technologies hold great promise, challenges such as implementation costs and the need for specialized training must be addressed. With continued research and interdisciplinary collaboration, these advancements can significantly enhance the management of cervical spine trauma, improving patient recovery and quality of life. Level of Evidence: Level V.

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Enabling Technologies in the Management of Cervical Spine Trauma

Menta,

Fuleihan,

et al. 2024

Clinical Spine Surgery

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Hybrid-3D robotic suite in spine and trauma surgery - experiences in 210 patients

Haida,

Mohr,

Won

et al. 2024

J Orthop Surg Res

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Background In modern Hybrid ORs, the synergies of navigation and robotics are assumed to contribute to the optimisation of the treatment in trauma, orthopaedic and spine surgery. Despite promising evidence in the area of navigation and robotics, previous publications have not definitively proven the potential benefits. Therefore, the aim of this retrospective study was to evaluate the potential benefit and clinical outcome of patients treated in a fully equipped 3D-Navigation Hybrid OR. Methods Prospective data was collected (March 2022- March 2024) after implementation of a fully equipped 3D-Navigation Hybrid OR (“Robotic Suite”) in the authors level 1 trauma centre. The OR includes a navigation unit, a cone beam CT (CBCT), a robotic arm and mixed reality glasses. Surgeries with different indications of the spine, the pelvis (pelvic ring and acetabulum) and the extremities were performed. Spinal and non-spinal screws were inserted. The collected data was analysed retrospectively. Pedicle screw accuracy was graded according to the Gertzbein and Robbins (GR) classification. Results A total of n = 210 patients (118 m:92f) were treated in our 3D-Navigation Hybrid OR, with 1171 screws inserted. Among these patients, 23 patients (11.0%) arrived at the hospital via the trauma room with an average Injury Severity Score (ISS) of 25.7. There were 1035 (88.4%) spinal screws inserted at an accuracy rate of 98.7% (CI95%: 98.1-99.4%; 911 GR-A & 111 GR-B screws). The number of non-spinal screws were 136 (11.6%) with an accuracy rate of 99.3% (CI95%: 97.8-100.0%; 135 correctly placed screws). This resulted in an overall accuracy rate of 98.8% (CI95%: 98.2-99.4%). The robotic arm was used in 152 cases (72.4%), minimally invasive surgery (MIS) was performed in 139 cases (66.2%) and wound infection occurred in 4 cases (1,9%). Overall, no revisions were needed. Conclusion By extending the scope of application, this study showed that interventions in a fully equipped 3D-Navigation Hybrid OR can be successfully performed not only on the spine, but also on the pelvis and extremities. In trauma, orthopaedics and spinal surgery, navigation and robotics can be used to perform operations with a high degree of precision, increased safety, reduced radiation exposure for the OR-team and a very low complication rate.

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Accuracy and clinical characteristics of robot-assisted cervical spine surgery: a systematic review and meta-analysis

Cited by 2 publications

References 37 publications

Enabling Technologies in the Management of Cervical Spine Trauma

Enabling Technologies in the Management of Cervical Spine Trauma

Hybrid-3D robotic suite in spine and trauma surgery - experiences in 210 patients

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