Aria M Jamshidi1, Dustin H Massel1,2, Jason I Liounakos1, Zmira Silman3, Christopher R Good4, Samuel R Schroerlucke5, Andrew Cannestra6, Victor Hsu7, Jae Lim8, Faissal Zahrawi9, Pedro M Ramirez10, Thomas M Sweeney11, Michael Y Wang1. 1. Department of Neurological Surgery, University of Miami-Miller School of Medicine, Miami, Florida, USA. 2. Department of Orthopedic Surgery, University of Miami-Miller School of Medicine, Miami, Florida, USA. 3. Israel Academic College, Tel Aviv University, Ramat Gan, Israel. 4. Virginia Spine Institute, Reston, Virginia, USA. 5. Tabor Orthopedics, Memphis, Tennessee, USA. 6. Lyerly Neurosurgery, Jacksonville, Florida, USA. 7. Rothman Institute, Willow Grove, Pennsylvania, USA. 8. Atlantic Brain & Spine, Reston, Viginia, USA. 9. AdventHealth Neuroscience Institute, Celebration, Florida, USA. 10. Neurosurgery of Central Florida, Lake Mary, Florida, USA. 11. Advanced Surgery Center of Sarasota, Sarasota, Florida, USA.
Abstract
BACKGROUND: As minimally invasive spine surgery becomes more widespread, concerns regarding radiation exposure to surgeons and patients alike have become a growing concern. Robotic guidance has been developed as a way to increase the accuracy of instrumentation while decreasing radiation burden. METHODS: A retrospective analysis of a large, multi-centre, prospective study comparing robotic-guided (RG) to fluoroscopic-guided (FG) (Multi-centre, Partially Randomized, Controlled Trial of MIS Robotic vs. Freehandin Short Adult Degenerative Spinal Fusion Surgeries) was performed to evaluate for differences in radiation exposure between study groups. RESULTS:RG was associated with 78.3% (p < 0.001) and 79.8% (p < 0.001) reduction in total and per screw fluoroscopy times, respectively, as compared to FG. RG was also associated with a 50.8% (p < 0.001) reduction in total operative fluoroscopy time. CONCLUSIONS:RG was associated with significantly lower fluoroscopy times compared to FG. This suggests that utilization of robotic navigation systems may result in decreased operative radiation exposure, which is a growing concern for surgeons performing minimally invasive spine surgery.
RCT Entities:
BACKGROUND: As minimally invasive spine surgery becomes more widespread, concerns regarding radiation exposure to surgeons and patients alike have become a growing concern. Robotic guidance has been developed as a way to increase the accuracy of instrumentation while decreasing radiation burden. METHODS: A retrospective analysis of a large, multi-centre, prospective study comparing robotic-guided (RG) to fluoroscopic-guided (FG) (Multi-centre, Partially Randomized, Controlled Trial of MIS Robotic vs. Freehand in Short Adult Degenerative Spinal Fusion Surgeries) was performed to evaluate for differences in radiation exposure between study groups. RESULTS: RG was associated with 78.3% (p < 0.001) and 79.8% (p < 0.001) reduction in total and per screw fluoroscopy times, respectively, as compared to FG. RG was also associated with a 50.8% (p < 0.001) reduction in total operative fluoroscopy time. CONCLUSIONS: RG was associated with significantly lower fluoroscopy times compared to FG. This suggests that utilization of robotic navigation systems may result in decreased operative radiation exposure, which is a growing concern for surgeons performing minimally invasive spine surgery.
Authors: Christine Park; Clifford Crutcher; Vikram A Mehta; Timothy Y Wang; Khoi D Than; Isaac O Karikari; C Rory Goodwin; Muhammad M Abd-El-Barr Journal: Acta Neurochir (Wien) Date: 2021-06-15 Impact factor: 2.816
Authors: Matthew J Hagan; Thibault Remacle; Owen P Leary; Joshua Feler; Elias Shaaya; Rohaid Ali; Bryan Zheng; Ankush Bajaj; Erik Traupe; Michael Kraus; Yue Zhou; Jared S Fridley; Kai-Uwe Lewandrowski; Albert E Telfeian Journal: Biomed Res Int Date: 2022-08-29 Impact factor: 3.246