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脊柱外科和脊柱外科培训中的机器人技术。

Robotics in Spine Surgery and Spine Surgery Training.

机构信息

Department of Neurological Surgery, University of Miami, Miami, Florida.

Department of Neurosurgery, Amiens University Hospital, Avenue René Laënnec, Salouël, Amiens Cedex 1, France.

出版信息

Oper Neurosurg (Hagerstown). 2021 Jul 15;21(2):35-40. doi: 10.1093/ons/opaa449.

Abstract

The increasing interest and advancements in robotic spine surgery parallels a growing emphasis on maximizing patient safety and outcomes. In addition, an increasing interest in minimally invasive spine surgery has further fueled robotic development, as robotic guidance systems are aptly suited for these procedures. This review aims to address 3 of the most critical aspects of robotics in spine surgery today: salient details regarding the current and future development of robotic systems and functionalities, the reported accuracy of implant placement over the years, and how the implementation of robotic systems will impact the training of future generations of spine surgeons. As current systems establish themselves as highly accurate tools for implant placement, the development of novel features, including even robotic-assisted decompression, will likely occur. As spine surgery robots evolve and become increasingly adopted, it is likely that resident and fellow education will follow suit, leading to unique opportunities for both established surgeons and trainees.

摘要

机器人脊柱手术日益受到关注并取得进展,这与人们越来越重视最大限度地提高患者安全性和手术效果的目标是一致的。此外,微创脊柱手术的关注度不断提高,也进一步推动了机器人技术的发展,因为机器人制导系统非常适合这些手术。本文旨在讨论当今机器人脊柱手术的 3 个最关键方面:当前和未来机器人系统和功能的发展的显著细节、多年来植入物放置的报告准确性,以及机器人系统的实施将如何影响下一代脊柱外科医生的培训。随着当前系统成为植入物放置的高度精确工具,新功能的开发(包括机器人辅助减压)很可能会发生。随着脊柱手术机器人的不断发展并被广泛采用,住院医师和研究员的教育也可能随之效仿,为经验丰富的外科医生和受训者带来独特的机会。

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