Stull Justin D, Mangan John J, Vaccaro Alexander R, Schroeder Gregory D
Orthopaedic Surgery, Thomas Jefferson University Hospital, Fifth Floor, 925 Chestnut Street, Philadelphia, PA, 19107, USA.
The Rothman Institute, Philadelphia, PA, USA.
Curr Rev Musculoskelet Med. 2019 Jun;12(2):245-251. doi: 10.1007/s12178-019-09558-2.
Minimally invasive spine surgery (MIS) and robotic technology are growing in popularity and are increasing utilized in combination. The purpose of this review is to identify the current successes, potential drawbacks, and future directions of robotic guidance for MIS compared to traditional techniques.
Recent literature highlights successful incorporation of robotic guidance in MIS as a consistently accurate method for pedicle screw placement. With a short learning curve and low complication rates, robot guidance may also reduce the use of fluoroscopy, operative time, and length of hospital stay. Recent literature suggests that incorporating robotic guidance in MIS improves the accuracy of pedicle screw insertion and may have added benefits both intra- and postoperatively for the patient and provider. Future research should focus on direct comparison between MIS with and without robotic guidance.
微创脊柱手术（MIS）和机器人技术越来越受欢迎，并且越来越多地联合使用。本综述的目的是确定与传统技术相比，机器人辅助MIS目前的成功之处、潜在缺点及未来方向。
近期文献强调，机器人辅助在MIS中成功应用，是椎弓根螺钉置入的一种始终准确的方法。由于学习曲线短且并发症发生率低，机器人辅助还可能减少透视的使用、手术时间和住院时间。近期文献表明，在MIS中加入机器人辅助可提高椎弓根螺钉置入的准确性，并且可能在术中和术后为患者和医护人员带来更多益处。未来的研究应聚焦于有和没有机器人辅助的MIS之间的直接比较。
