Dietz Nicholas, Alkin Victoria, Lieberman Isador, Manista Andrew, Kim Terrence, Johnson J Patrick, Drazin Doniel
Department of Neurosurgery, University of Louisville, Louisville, KY, USA.
Department of Neurobiology and Behavior, Cornell University, Ithaca, NY, USA.
Ann Transl Med. 2024 Dec 24;12(6):118. doi: 10.21037/atm-24-100. Epub 2024 Dec 18.
Robotic assistance has become increasingly prevalent in spinal surgery in recent years, emerging as a tool to increase accuracy and precision and lower complication rates and radiation exposure. The 7 and 8 Annual Seattle Science Foundation (SSF) Robotics Courses showcased presentations and demonstrations from some of the field's most experiences leaders on latest topics in robotics and spinal surgery, including cutting-edge preoperative planning technologies, augmented reality (AR) in the operating room, cervical fusion with transpedicular screws, and neuro-oncologic management. We provide a scoping review of the use of robotics technology in spinal surgery featuring highlights from the 7 and 8 Annual SSF Robotics Courses.
A scoping review of the literature was conducted (last search conducted in July 2024). Key search terms included "robotic assistance", "spine surgery", and "robotic technology" on the PubMed database. Additionally, highlights are included from the 7 and 8 Annual SSF Robotics Courses.
Applications of navigation robotics span subspecialties of spine surgery including deformity correction, minimally invasive approaches, lateral single position operations, spinal oncology, and cervical fusion. Tips on overcoming traditional obstacles of robotics integration such as streamlining staff workflow and adoption while financing robotic-assisted technology are shared. Future directions of robotics enhanced with AR may further guide surgeon decision-making, assist in more practical fashion intraoperatively, and optimize patient outcomes.
While improved precision and accuracy, less radiation, and standardization of procedures represent current advantages of robotic-assistance across spine surgery, robotics in spine surgery will usher more transformative changes to patient care and operative skill in coming years.
近年来，机器人辅助技术在脊柱手术中越来越普遍，成为提高准确性和精确性、降低并发症发生率和辐射暴露的一种工具。第七届和第八届西雅图科学基金会（SSF）机器人技术课程展示了该领域一些最有经验的领导者关于机器人技术和脊柱手术最新主题的演讲和演示，包括前沿的术前规划技术、手术室中的增强现实（AR）、经椎弓根螺钉颈椎融合术以及神经肿瘤管理。我们对脊柱手术中机器人技术的应用进行了范围综述，重点介绍了第七届和第八届年度SSF机器人技术课程的亮点。
对文献进行了范围综述（最后一次检索于2024年7月进行）。在PubMed数据库上，关键检索词包括“机器人辅助”、“脊柱手术”和“机器人技术”。此外，还纳入了第七届和第八届年度SSF机器人技术课程的亮点。
导航机器人的应用涵盖脊柱手术的各个亚专业，包括畸形矫正、微创方法、侧方单入路手术、脊柱肿瘤学和颈椎融合术。分享了克服机器人集成传统障碍的技巧，如简化工作人员工作流程以及在为机器人辅助技术融资时的采用问题。增强了AR技术的机器人的未来发展方向可能会进一步指导外科医生的决策，在术中以更实用的方式提供帮助，并优化患者的治疗效果。
虽然提高精度和准确性、减少辐射以及手术标准化是目前机器人辅助技术在脊柱手术中的优势，但脊柱手术中的机器人技术在未来几年将给患者护理和手术技能带来更多变革性变化。
