Vincent J Rossi1,2,3, Thomas A Wells-Quinn1, Gregory M Malham1,4. 1. Epworth Hospital, Melbourne, Australia. 2. Carolina Neurosurgery & Spine Associates, Charlotte, NC, USA. 3. Atrium Health Musculoskeletal Institute, Charlotte, NC, USA. 4. Swinburne University of Technology, Melbourne, Australia.
Abstract
Background and Objective: This is a narrative review with the objective to discuss available assistive technologies for spinal surgery. Characteristics, costs, and compatibility of the different systems are summarized and recommendations made regarding acquiring these technologies. The availability of assistive technologies in spine surgery continues to evolve rapidly. The literature is lacking a collective summary of the available technologies and guidelines for acquisition. This is a narrative review which (I) presents an up-to-date summary of the currently available assistive technologies in spinal surgery; (II) makes comment on the utility of imaging, navigation, and robotics; (III) makes recommendations for the utility of the platform based on hospital size and (IV) discuss factors involved in negotiating for the purchase of these new technologies. Methods: We assemble the most up-to-date collection of description, characteristics and pricing of assistive technologies in spinal surgery. We compare and contrast these technologies and make recommendations regarding acquisition. Key Content and Findings: These technologies require a learning-curve for the surgeon and the operating room staff to understand how to use them efficiently. Surgeons need to be involved in the process of purchase decisions. Surgeons occupy a unique position in the health care infrastructure as their approach to care has significant ramifications on both the quality and cost of care. Surgeons should maintain conviction that their training and practice has allowed the use of these technologies to provide safer and more effective care for patients. Conclusions: Assistive technologies and prostheses for spinal fusion are evolving rapidly. This article serves as an encompassing reference to the current technologies. These technologies will play a significant role in the delivery of spinal health care in the future. All stakeholders stand to benefit from the increased value these technologies bring to patient care. 2022 Journal of Spine Surgery. All rights reserved.
Background and Objective: This is a narrative review with the objective to discuss available assistive technologies for spinal surgery. Characteristics, costs, and compatibility of the different systems are summarized and recommendations made regarding acquiring these technologies. The availability of assistive technologies in spine surgery continues to evolve rapidly. The literature is lacking a collective summary of the available technologies and guidelines for acquisition. This is a narrative review which (I) presents an up-to-date summary of the currently available assistive technologies in spinal surgery; (II) makes comment on the utility of imaging, navigation, and robotics; (III) makes recommendations for the utility of the platform based on hospital size and (IV) discuss factors involved in negotiating for the purchase of these new technologies. Methods: We assemble the most up-to-date collection of description, characteristics and pricing of assistive technologies in spinal surgery. We compare and contrast these technologies and make recommendations regarding acquisition. Key Content and Findings: These technologies require a learning-curve for the surgeon and the operating room staff to understand how to use them efficiently. Surgeons need to be involved in the process of purchase decisions. Surgeons occupy a unique position in the health care infrastructure as their approach to care has significant ramifications on both the quality and cost of care. Surgeons should maintain conviction that their training and practice has allowed the use of these technologies to provide safer and more effective care for patients. Conclusions: Assistive technologies and prostheses for spinal fusion are evolving rapidly. This article serves as an encompassing reference to the current technologies. These technologies will play a significant role in the delivery of spinal health care in the future. All stakeholders stand to benefit from the increased value these technologies bring to patient care. 2022 Journal of Spine Surgery. All rights reserved.
Entities:
Keywords:
3D fluoroscopy; imaging; navigation; robotics; spinal fusion
Authors: Bowen Jiang; Zach Pennington; Tej Azad; Ann Liu; A Karim Ahmed; Corinna C Zygourakis; Erick M Westbroek; Alex Zhu; Ethan Cottrill; Nicholas Theodore Journal: World Neurosurg Date: 2020-01-27 Impact factor: 2.104
Authors: Jimmy Villard; Yu-Mi Ryang; Andreas K Demetriades; Andreas Reinke; Michael Behr; Alexander Preuss; Bernhard Meyer; Florian Ringel Journal: Spine (Phila Pa 1976) Date: 2014-06-01 Impact factor: 3.468
Authors: Corey T Walker; Jakub Godzik; David S Xu; Nicholas Theodore; Juan S Uribe; Steve W Chang Journal: Oper Neurosurg (Hagerstown) Date: 2019-04-01 Impact factor: 2.703