Department of Orthopedic Surgery, LeBonheur Children's Hospital, 848 Adams Avenue, Memphis, TN 38103, USA; Department of Orthopedic Surgery, Campbell Clinic, University of Tennessee Health Science Center, 1211 Union Avenue, Memphis, TN 38104, USA; Campbell Clinic Orthopedics, 1400 South Germantown Road, Germantown, TN 38138, USA.
Department of Orthopedic Surgery, LeBonheur Children's Hospital, 848 Adams Avenue, Memphis, TN 38103, USA; Department of Orthopedic Surgery, Campbell Clinic, University of Tennessee Health Science Center, 1211 Union Avenue, Memphis, TN 38104, USA; Campbell Clinic Orthopedics, 1400 South Germantown Road, Germantown, TN 38138, USA.
Orthop Clin North Am. 2023 Apr;54(2):201-207. doi: 10.1016/j.ocl.2022.11.005. Epub 2023 Jan 31.
Current technologies for image guidance navigation and robotic assistance with spinal surgery are improving rapidly with several systems commercially available. Newer machine vision technology has several potential advantages. Limited studies have shown similar outcomes to traditional navigation platforms with decreased intraoperative radiation and time required for registration. However, there are no active robotic arms that can be coupled with machine vision navigation. Further research is necessary to justify the cost, potential increased operative time, and workflow issues but the use of navigation and robotics will only continue to expand given the growing body of evidence supporting their use.
目前，用于脊柱手术的图像引导导航和机器人辅助的技术正在迅速发展，有几个系统已经商业化。较新的机器视觉技术具有几个潜在的优势。有限的研究表明，与传统导航平台相比，机器视觉导航具有减少术中辐射和减少注册时间的效果。但是，没有可以与机器视觉导航结合使用的主动机器人臂。有必要进一步研究以证明其成本、潜在的手术时间增加和工作流程问题的合理性，但是考虑到越来越多的证据支持使用导航和机器人技术，它们的使用只会继续扩大。
