Shweikeh Faris, Amadio Jordan P, Arnell Monica, Barnard Zachary R, Kim Terrence T, Johnson J Patrick, Drazin Doniel
Departments of Neurosurgery and.
Neurosurg Focus. 2014 Mar;36(3):E10. doi: 10.3171/2014.1.FOCUS13526.
Robotics in the operating room has shown great use and versatility in multiple surgical fields. Robot-assisted spine surgery has gained significant favor over its relatively short existence, due to its intuitive promise of higher surgical accuracy and better outcomes with fewer complications. Here, the authors analyze the existing literature on this growing technology in the era of minimally invasive spine surgery.
In an attempt to provide the most recent, up-to-date review of the current literature on robotic spine surgery, a search of the existing literature was conducted to obtain all relevant studies on robotics as it relates to its application in spine surgery and other interventions.
In all, 45 articles were included in the analysis. The authors discuss the current status of this technology and its potential in multiple arenas of spinal interventions, mainly spine surgery and spine biomechanics testing.
There are numerous potential advantages and limitations to robotic spine surgery, as suggested in published case reports and in retrospective and prospective studies. Randomized controlled trials are few in number and show conflicting results regarding accuracy. The present limitations may be surmountable with future technological improvements, greater surgeon experience, reduced cost, improved operating room dynamics, and more training of surgical team members. Given the promise of robotics for improvements in spine surgery and spine biomechanics testing, more studies are needed to further explore the applicability of this technology in the spinal operating room. Due to the significant cost of the robotic equipment, studies are needed to substantiate that the increased equipment costs will result in significant benefits that will justify the expense.
手术室中的机器人技术在多个外科领域已展现出巨大的用途和多功能性。机器人辅助脊柱手术在其相对较短的存在时间里颇受青睐，因为它直观地有望实现更高的手术精度、更好的手术效果且并发症更少。在此，作者分析了微创脊柱手术时代关于这项不断发展的技术的现有文献。
为了对当前有关机器人脊柱手术的文献提供最新、最及时的综述，对现有文献进行了检索，以获取所有与机器人技术在脊柱手术及其他干预中的应用相关的研究。
分析共纳入45篇文章。作者讨论了这项技术的现状及其在脊柱干预多个领域的潜力，主要是脊柱手术和脊柱生物力学测试。
正如已发表的病例报告以及回顾性和前瞻性研究中所表明的，机器人脊柱手术有众多潜在的优点和局限性。随机对照试验数量较少，且在准确性方面结果相互矛盾。当前的局限性可能随着未来技术的改进、外科医生经验的增加、成本的降低、手术室动态的改善以及手术团队成员更多的培训而得以克服。鉴于机器人技术有望改善脊柱手术和脊柱生物力学测试，需要更多研究来进一步探索这项技术在脊柱手术室中的适用性。由于机器人设备成本高昂，需要进行研究以证实增加的设备成本将带来显著益处，从而证明这笔费用是合理的。
