Robotically assisted spondylodesis for left-sided herniated disc L4-5 and spondylolysis L5-S1.

Robotic spine surgery is a rapidly developing field and offers several advantages for both patients and the surgical team. Several studies have shown greater accuracy in screw placement, less blood loss, less radiation exposure, and fewer reoperations compared with freehand procedures. Here the authors present the case of a 40-year-old woman with a herniated disc at level L4-5 and spondylolysis at level L5-S1. They performed robot-assisted spondylodesis using midline cortical screws in both levels due to foot-drop paralysis and refractory pain and present their workflow for robot-assisted spondylodesis. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2512.