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脊柱外科中的机器人导航:我们现在在哪里,我们将去往何处?

Robotic navigation in spine surgery: Where are we now and where are we going?

机构信息

Department of Neurological Surgery, Duke University Medical Center, Durham, NC, USA.

School of Medicine, Duke University, Durham, NC, USA.

出版信息

J Clin Neurosci. 2021 Dec;94:298-304. doi: 10.1016/j.jocn.2021.10.034. Epub 2021 Nov 12.

DOI:10.1016/j.jocn.2021.10.034
PMID:34863454
Abstract

Robotic navigation is a new and rapidly emerging niche within minimally invasive spine surgery. The robotic arms-race began in 2004 and has resulted in no less than four major robotic surgical adjuncts. Current Food and Drug Administration (FDA)-approved applications of robotic navigation are limited to pedicle screw instrumentation, but new indications and experimental applications are rapidly emerging. As with any new technology, robotic navigation must be vetted for clinical efficacy, efficiency, safety, and cost-effectiveness. Given the rapid advancements made on a yearly basis, it is important to make frequent and objective assessments of the available technology. Thus, the authors seek to provide the most up-to-date review of the history, currently available technology, learning curve, novel applications, and cost effectiveness of today's available robotic systems as it relates to spine surgery.

摘要

机器人导航是微创脊柱外科领域的一个新兴分支。机器人技术的发展始于 2004 年,至今已经出现了不少于四种主要的机器人手术辅助设备。目前,美国食品和药物管理局(FDA)批准的机器人导航应用仅限于椎弓根螺钉器械,但新的适应证和实验应用正在迅速出现。与任何新技术一样,机器人导航必须经过临床疗效、效率、安全性和成本效益的评估。鉴于每年都在取得快速进展,因此需要频繁且客观地评估现有技术。因此,作者旨在提供有关当今可用的机器人系统在脊柱外科方面的历史、现有技术、学习曲线、新应用和成本效益的最新综述。

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