Antonacci Christopher L, Zeng Francine, Block Andrew, Davey Annabelle, Makanji Heeren
Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Orthopedic Associates of Hartford, Hartford Hospital Bone and Joint Institute, Hartford, CT, USA.
J Spine Surg. 2024 Jun 21;10(2):305-312. doi: 10.21037/jss-23-40. Epub 2024 May 15.
Emerging technologies have increasingly been adopted in spine surgery in the attempt to increase precision and improve outcomes. Robotic assistance is an area of significant interest, with proposed benefits including increased accuracy, decreased complication rates, and decreased radiation exposure. The purpose of this review is to provide an overview of the currently available robotic assistance systems and their associated outcomes and limitations.
A review of national databases was performed using key terms "robotic", "spine", and "surgery" for literature from 2014 to 2023. Studies that aimed to describe the utilities of endoscopic surgeries, associated outcomes, limitations, and future directions were included. Studies that were not in English were excluded.
This review includes a brief overview of the history of robotic spine surgery as well as its clinical outcomes, limitations, and future directions.
Robotic-assisted spine surgery has seen increasing use in the attempt to increase precision and improve outcomes and has been associated with increased accuracy in pedicle screw placement and decreased complication rates. Barriers to its adoption include a significant learning curve, possibly longer operative cases, and significant associated costs. As robotic assistance continues to become increasingly popular in spine surgery, it is critical for surgeons to understand the technology available and the associated outcomes to make informed decisions when considering which system to incorporate into their practice.
新兴技术在脊柱手术中的应用日益增多，旨在提高手术精度并改善手术效果。机器人辅助是一个备受关注的领域，其潜在益处包括提高准确性、降低并发症发生率以及减少辐射暴露。本综述的目的是概述当前可用的机器人辅助系统及其相关的手术效果和局限性。
使用关键词“机器人”“脊柱”和“手术”对2014年至2023年的国家数据库进行文献检索。纳入旨在描述机器人辅助脊柱手术的效用、相关手术效果、局限性及未来发展方向的研究。排除非英文研究。
本综述简要概述了机器人辅助脊柱手术的历史及其临床效果、局限性和未来发展方向。
机器人辅助脊柱手术在提高手术精度和改善手术效果方面的应用日益增加，与椎弓根螺钉置入的准确性提高和并发症发生率降低相关。其应用的障碍包括显著的学习曲线、可能更长的手术时间以及高昂的相关成本。随着机器人辅助在脊柱手术中越来越受欢迎，外科医生了解可用技术及其相关手术效果至关重要，以便在考虑将哪种系统纳入其手术实践时做出明智的决策。
