Pham Martin H, Plonsker Jillian, Diaz-Aguilar Luis D, Osorio Joseph A, Lehman Ronald A
Department of Neurosurgery, University of California, San Diego School of Medicine, San Diego, California.
Department of Orthopedic Surgery, The Daniel and Jane Och Spine Hospital at New York-Presbyterian, Columbia University College of Physicians and Surgeons, New York, New York.
Oper Neurosurg. 2021 Apr 15;20(5):E363. doi: 10.1093/ons/opaa451.
The use of robotic guidance for spinal instrumentation is promising for its ability to offer the advantages of precision, accuracy, and reproducibility. This has become even more important in the era of lateral interbody surgery because spinal robotics opens up the possibility of a straightforward workflow for single-position surgery in the lateral position. We present here a case of a 72-yr-old woman who presented with an L4-5 spondylolisthesis with axial back pain and radiculopathy. She subsequently underwent an L4-5 oblique lumbar interbody fusion with L4-5 bilateral posterior instrumentation in a single lateral position (Mazor X Stealth Edition, Medtronic Sofamor Danek, Medtronic Inc, Dublin, Ireland). Due to the oblique lateral approach and posterior robotic assistance, both surgeons were able to work simultaneously for increased efficiency. To our knowledge, this is the first video demonstrating a two-surgeon simultaneous robotic single-position surgery with oblique lumbar interbody fusion using a spinal robotic platform. There is no identifying information in this video. Patient consent was obtained for the surgical procedure and for publishing of the material included in the video.
使用机器人引导进行脊柱内固定具有很大前景，因为它能够提供精准、精确和可重复性等优势。在侧方椎间融合手术时代，这一点变得尤为重要，因为脊柱机器人技术为侧卧位单位置手术带来了直接流程的可能性。我们在此展示一例72岁女性患者，她因L4 - 5椎体滑脱伴有轴向背痛和神经根病前来就诊。随后，她在单一侧卧位接受了L4 - 5斜外侧腰椎椎间融合术及L4 - 5双侧后路内固定（使用Mazor X Stealth Edition，美敦力索法玛丹历公司，美敦力公司，爱尔兰都柏林）。由于采用斜外侧入路和后路机器人辅助，两位外科医生能够同时操作，从而提高了效率。据我们所知，这是首个展示使用脊柱机器人平台进行双外科医生同时操作的机器人单位置斜外侧腰椎椎间融合手术的视频。该视频中没有可识别身份的信息。已获得患者对手术过程及视频所含材料发布的同意。
