Yeo Quan You, Pham Martin H, Oh Jacob Yoong-Leong
Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Department of Orthopaedic Surgery, Woodlands Health, Singapore.
Asian Spine J. 2024 Feb;18(1):118-123. doi: 10.31616/asj.2023.0215. Epub 2024 Feb 21.
Single-position lateral interbody fusion surgery has gained traction over the years because of reduced surgical time and improved operating theater workflow. With the introduction of robotics in spine surgery, surgeons can place pedicle screws with a high degree of accuracy and efficiency; moreover, the robot allows us to localize the disk space and perform endplate preparation accurately with minimal radiation. In this study, we discuss the potential synergistic benefits of integrating robotic-assisted spine surgery and singleposition prone lateral surgery. We share our technique and provide the operative nuances of using the Mazor X Stealth Edition system (Medtronic, Minneapolis, MN, USA). We highlighted the potential synergistic benefits of integrating both the prone lateral and robotic-assisted surgical techniques, including the challenges encountered. This approach is not meant to replace other techniques or be used in all patients. Instead, it adds to our arsenal for managing spine fusion.
多年来，单节段侧方椎间融合手术因其缩短手术时间和改善手术室工作流程而受到关注。随着脊柱手术中机器人技术的引入，外科医生能够以高度的准确性和效率置入椎弓根螺钉；此外，机器人使我们能够定位椎间盘间隙并以最小的辐射精确地进行终板准备。在本研究中，我们讨论了整合机器人辅助脊柱手术和单节段俯卧位侧方手术的潜在协同益处。我们分享了我们的技术，并提供了使用美敦力公司（美国明尼阿波利斯）的Mazor X Stealth Edition系统的手术细节。我们强调了整合俯卧位侧方和机器人辅助手术技术的潜在协同益处，包括所遇到的挑战。这种方法并非旨在取代其他技术或应用于所有患者。相反，它为我们处理脊柱融合增加了一种手段。
