Lai Mun Chun, Sundaram Pirateb Paramasivam Meenakshi, Kaliya-Perumal Arun-Kumar, Oh Jacob Yoong-Leong
Division of Spine, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Rehabilitation Research Institute of Singapore, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Biomedicine (Taipei). 2025 Mar 1;15(1):1-5. doi: 10.37796/2211-8039.1644. eCollection 2025.
The integration of robotic technology into spinal surgery has led to a remarkable transformation, offering improved precision and safety. The "CT-Fluoro merge" and "Scan-and-Plan" methods for pedicle screw application promise numerous advantages, minimizing risks associated with traditional approaches. Our early series of patients who underwent robot-assisted pedicle screw placements for various indications, predominantly lumbar spondylosis, revealed no complications related to screws, neurological deficits, or unplanned returns to the operating theatre, thus emphasizing the safety and effectiveness of the robot. Studies have consistently demonstrated the superiority of robot-assisted pedicle screw placement in terms of accuracy, with decreasing rates of technical issues indicating improvements in reliability and precision. Our experiences align with these findings, signalling the emergence of robotic spine surgery as the forthcoming standard of care in the field. This short communication explores the steps involved in robotic pedicle screw placement, discusses nuances for improving safety, and emphasizes its benefits and implications for the future of spinal care.
将机器人技术整合到脊柱手术中带来了显著变革，提高了手术的精准度和安全性。用于椎弓根螺钉植入的“CT-荧光融合”和“扫描与规划”方法具有诸多优势，将传统方法相关的风险降至最低。我们早期的一系列患者因各种适应症接受了机器人辅助椎弓根螺钉植入手术，主要是腰椎间盘突出症，结果显示未出现与螺钉相关的并发症、神经功能缺损或意外重返手术室的情况，从而强调了机器人的安全性和有效性。研究一直表明，机器人辅助椎弓根螺钉植入在准确性方面具有优越性，技术问题发生率的降低表明可靠性和精准度有所提高。我们的经验与这些发现一致，标志着机器人脊柱手术即将成为该领域的标准治疗方法。本简短通讯探讨了机器人椎弓根螺钉植入所涉及的步骤，讨论了提高安全性的细微差别，并强调了其对脊柱护理未来的益处和影响。
