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机器人辅助脊柱手术:要点与陷阱

Robot-Assisted Spine Surgery: The Pearls and Pitfalls.

作者信息

Lee Nathan J, Lombardi Joseph M, Qureshi Sheeraz, Lehman Ronald A

机构信息

From the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL (Lee), Department of Orthopaedic Surgery, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY (Lombardi, Lehman), Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY Qureshi.

出版信息

J Am Acad Orthop Surg. 2025 Jan 15;33(2):e81-e92. doi: 10.5435/JAAOS-D-24-00692. Epub 2024 Sep 11.

DOI:10.5435/JAAOS-D-24-00692
PMID:39284034
Abstract

Robot-assisted spine surgery has gained notable popularity among surgeons because of recent advancements in technology. These innovations provide several key benefits, including high screw accuracy rates, reduced radiation exposure, customized preoperative and intraoperative planning options, and improved ergonomics for surgeons. Despite the promising outcomes reported in literature, potential technical challenges remain across various robotic platforms. It is crucial for surgeons to remember that robotic platforms are shared-control systems, requiring the surgeon to maintain primary control throughout the procedure. To ensure patient safety, surgeons should be well versed in common technical pitfalls and strategies to mitigate these limitations.

摘要

由于技术的最新进展,机器人辅助脊柱手术在外科医生中已获得显著普及。这些创新带来了几个关键益处,包括高螺钉准确率、减少辐射暴露、定制的术前和术中规划选项,以及改善外科医生的人体工程学。尽管文献中报道了有前景的结果,但各种机器人平台仍存在潜在的技术挑战。外科医生必须牢记,机器人平台是共享控制系统,要求外科医生在整个手术过程中保持主要控制权。为确保患者安全,外科医生应精通常见的技术陷阱以及减轻这些限制的策略。

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