Department of Spine Surgery, Norton Leatherman Spine Center, 210 E. Gray St. Suite 900, Louisville, KY, 40202, USA.
Virginia Spine Institute, Reston, VA, USA.
J Robot Surg. 2021 Feb;15(1):13-23. doi: 10.1007/s11701-020-01147-7. Epub 2020 Sep 28.
Robotic-assisted spine surgery has a number of potential advantages, including more precise pre-operative planning, a high degree of accuracy in screw placement, and significantly reduced radiation exposure to the surgical team. While the current primary goal of these systems is to improve the safety of spine surgery by increasing screw accuracy, there are a number of technical errors that may increase the risk of screw malposition. Given the learning curve associated with this technology, it is important for the surgeon to have a thorough understanding of all required steps. In this article, we will demonstrate the setup and workflow of a combined navigation and robotic spine surgery platform using the Mazor X Stealth Edition (MXSE) system to place cortical-based trajectory (CBT) screws, including a review of all technical tips and pearls to efficiently perform this procedure with minimal risk of screw malposition. In this article, we will review surgical planning, operating room setup, robotic arm mounting, registration, and CBT screw placement using the MXSE system.
机器人辅助脊柱手术具有许多潜在优势，包括更精确的术前规划、螺钉放置的高度准确性，以及显著降低手术团队的辐射暴露。虽然这些系统目前的主要目标是通过提高螺钉准确性来提高脊柱手术的安全性，但仍存在许多可能增加螺钉错位风险的技术错误。考虑到与这项技术相关的学习曲线，外科医生需要全面了解所有必需的步骤。在本文中，我们将使用 Mazor X Stealth Edition (MXSE) 系统演示组合导航和机器人脊柱手术平台的设置和工作流程，以放置基于皮质的轨迹 (CBT) 螺钉，包括回顾所有技术要点和技巧，以有效地进行该手术，最大程度降低螺钉错位的风险。在本文中，我们将回顾 MXSE 系统的手术规划、手术室设置、机械臂安装、注册和 CBT 螺钉放置。
