Ignacio Barrio Lopez1, Ahmed Benzakour2, Andreas Mavrogenis3, Thami Benzakour4, Alaaeldin Ahmad5, Jean-Michel Lemée6,7. 1. Department of Neurosurgery, University Hospital of Angers, 4, rue Larrey, 49933, Angers Cedex 09, France. 2. Centre Orléanais du Dos, Pôle Santé Oréliance, Saran, France. 3. First Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. 4. Zerktouni Ortho Clinic, Casablanca, Morocco. 5. Palestine Polytechnic University, Hebron, Palestine. 6. Department of Neurosurgery, University Hospital of Angers, 4, rue Larrey, 49933, Angers Cedex 09, France. jeanmichel.lemee@gmail.com. 7. INSERM CRCI2NA Team 5, GLIAD, Angers, France. jeanmichel.lemee@gmail.com.
Abstract
PURPOSE: Over 4.83 million spine surgery procedures are performed annually around the world. With the considerable caseload and the precision needed to achieve optimal spinal instrumentation, technical progress has helped to improve the technique's safety and accuracy with the development of peri-operative assistance tools. Contrary to other surgical applications already part of the standard of care, the development of robotics in spine surgery is still a novelty and is not widely available nor used. Robotics, especially when coupled with other guidance modalities such as navigation, seems to be a promising tool in our quest for accuracy, improving patient outcomes and reducing surgical complications. Robotics in spine surgery may also be for the surgeon a way to progress in terms of ergonomics, but also to respond to a growing concern among surgical teams to reduce radiation exposure. METHOD: We present in this recent systematic review of the literature realized according to the PRISMA guidelines the place of robotics in spine surgery, reviewing the comparison to standard techniques, the current and future indications, the learning curve, the impact on radiation exposure, and the cost-effectiveness. RESULTS: Seventy-six relevant original studies were identified and analyzed for the review. CONCLUSION: Robotics has proved to be a safe help for spine surgery, both for the patient with a decrease of operating time and increase in pedicular screw accuracy, and for the surgical team with a decrease of radiation exposure. Medico-economic studies demonstrated that despite a high buying cost, the purchase of a robot dedicated for spine surgery is cost-effective resulting in lesser revision, lower infection, reduced length of stay, and shorter surgical procedure.
PURPOSE: Over 4.83 million spine surgery procedures are performed annually around the world. With the considerable caseload and the precision needed to achieve optimal spinal instrumentation, technical progress has helped to improve the technique's safety and accuracy with the development of peri-operative assistance tools. Contrary to other surgical applications already part of the standard of care, the development of robotics in spine surgery is still a novelty and is not widely available nor used. Robotics, especially when coupled with other guidance modalities such as navigation, seems to be a promising tool in our quest for accuracy, improving patient outcomes and reducing surgical complications. Robotics in spine surgery may also be for the surgeon a way to progress in terms of ergonomics, but also to respond to a growing concern among surgical teams to reduce radiation exposure. METHOD: We present in this recent systematic review of the literature realized according to the PRISMA guidelines the place of robotics in spine surgery, reviewing the comparison to standard techniques, the current and future indications, the learning curve, the impact on radiation exposure, and the cost-effectiveness. RESULTS: Seventy-six relevant original studies were identified and analyzed for the review. CONCLUSION: Robotics has proved to be a safe help for spine surgery, both for the patient with a decrease of operating time and increase in pedicular screw accuracy, and for the surgical team with a decrease of radiation exposure. Medico-economic studies demonstrated that despite a high buying cost, the purchase of a robot dedicated for spine surgery is cost-effective resulting in lesser revision, lower infection, reduced length of stay, and shorter surgical procedure.
Authors: Sharon C Yson; Jonathan N Sembrano; Peter C Sanders; Edward Rainier G Santos; Charles Gerald T Ledonio; David W Polly Journal: Spine (Phila Pa 1976) Date: 2013-02-15 Impact factor: 3.468
Authors: Anant Naik; Alexander D Smith; Annabelle Shaffer; David T Krist; Christina M Moawad; Bailey R MacInnis; Kevin Teal; Wael Hassaneen; Paul M Arnold Journal: Neurosurg Focus Date: 2022-01 Impact factor: 4.047