单侧卧位机器人辅助腰椎固定术：OLIF L4-5、ALIF L5-S1以及L4-S1经皮椎弓根螺钉固定术
Robot-assisted lumbar fixation in single lateral position: OLIF L4-5, ALIF L5-S1, and L4-S1 percutaneous pedicle screws.
作者信息
Taravilla-Loma Mario, Giner García Javier, Rodríguez-Domínguez Víctor, García-Feijoo Pablo, Gandía-González María Luisa, Isla Guerrero Alberto
机构信息
Department of Neurosurgery, Hospital Universitario La Paz, Madrid, Spain.
出版信息
Neurosurg Focus Video. 2025 Jul 1;13(1):V4. doi: 10.3171/2025.4.FOCVID257. eCollection 2025 Jul.
The integration of robot-assisted spine surgery (RASS) and single lateral position surgery (SLPS) has revolutionized spinal fusion by enhancing efficiency, reducing surgical time, and improving patient outcomes. This video demonstrates a step-by-step procedural workflow for robot-assisted OLIF L4-L5, ALIF L5-S1, and percutaneous pedicle screw fixation (L4-S1) in a single lateral decubitus position using the ExcelsiusGPS system. The workflow highlights preoperative CT-based planning, intraoperative image fusion, real-time navigation, and robot-guided implant placement. SLPS eliminates the need for patient repositioning, reduces anesthesia duration, and enhances operating room efficiency, showcasing the role of robotics and innovative positioning strategies in modern spine surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID257.
机器人辅助脊柱手术（RASS）与单侧卧位手术（SLPS）的结合通过提高效率、缩短手术时间和改善患者预后，彻底改变了脊柱融合术。本视频展示了使用ExcelsiusGPS系统在单侧卧位下进行机器人辅助的L4-L5节段斜外侧腰椎椎间融合术（OLIF）、L5-S1节段前路腰椎椎间融合术（ALIF）以及经皮椎弓根螺钉固定术（L4-S1）的分步操作流程。该流程重点介绍了基于术前CT的规划、术中图像融合、实时导航以及机器人引导下的植入物放置。SLPS无需重新摆放患者体位，缩短了麻醉时间，提高了手术室效率，展示了机器人技术和创新体位策略在现代脊柱手术中的作用。视频可在此处查看：https://stream.cadmore.media/r10.3171/2025.4.FOCVID257 。
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