Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, 676 North St. Clair Street, Suite 2210, Chicago, IL 60611-2292, USA.
Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, 676 North St. Clair Street, Suite 2210, Chicago, IL 60611-2292, USA.
Neurosurg Clin N Am. 2020 Jan;31(1):121-129. doi: 10.1016/j.nec.2019.08.014. Epub 2019 Oct 23.
Spine surgery has evolved from the advent of imaging and navigation guidance, particularly with the rise of robotic surgical assistance. Navigation guidance has demonstrated potential for increased accuracy of transpedicular screw placement and resecting primary and metastatic spinal tumors. Robotic surgery is widely accepted in other surgical fields because laparoscopic techniques applied to robots can increase operator dexterity and improve visualization. Robotic assistance with spinal tumors has enjoyed rising interest owing to the potential for safe and minimally traumatic resection. We discuss available robots used for navigation-guided transpedicular screw placement and state-of-the-art robotic techniques for spinal or paraspinal tumor resection.
脊柱外科已经从影像学和导航引导的出现中发展而来，特别是随着机器人手术辅助技术的兴起。导航引导已经显示出增加经皮脊柱螺钉放置和切除原发性和转移性脊柱肿瘤的准确性的潜力。机器人手术在其他外科领域得到广泛认可，因为应用于机器人的腹腔镜技术可以增加操作人员的灵活性并改善可视化效果。由于安全和微创切除的潜力，机器人辅助脊柱肿瘤切除术受到越来越多的关注。我们讨论了用于导航引导经皮脊柱螺钉放置的可用机器人，并介绍了用于脊柱或脊柱旁肿瘤切除的最先进的机器人技术。
