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在Mazor机器人引导下的单体位俯卧经腰大肌椎间融合术。

Single-position prone lateral transpsoas interbody fusion with Mazor robotic guidance.

作者信息

Wilson John P, Ronkon Charles, Burkhardt Edward, Hoang Stanley

机构信息

Department of Neurosurgery, Louisiana State University Health Sciences, Shreveport, Louisiana.

出版信息

Neurosurg Focus Video. 2025 Jul 1;13(1):V6. doi: 10.3171/2025.4.FOCVID24148. eCollection 2025 Jul.

DOI:10.3171/2025.4.FOCVID24148
PMID:40747280
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12308745/
Abstract

Lumbar spondylolisthesis can lead to symptoms of mechanical back pain and radiculopathy. Surgical treatment aims to address dynamic instability and foraminal stenoses. While various alternatives exist to treat this clinical presentation, the single-position prone lateral interbody fusion has recently emerged as a popular technique. This operative video illustrates the treatment of a grade 1 L3-4 spondylolisthesis with a single-position prone lateral transpsoas interbody fusion with percutaneous instrumentation using the Mazor X Stealth robotic system. Detailed step-by-step techniques with operative pearls are provided to help surgeons incorporate the nuances of robotic navigation to the single-position prone lateral procedure. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID24148.

摘要

腰椎滑脱可导致机械性背痛和神经根病症状。手术治疗旨在解决动态不稳定和椎间孔狭窄问题。虽然有多种方法可治疗这种临床表现,但单体位俯卧位侧方椎间融合术最近已成为一种流行技术。本手术视频展示了使用Mazor X Stealth机器人系统,通过单体位俯卧位经腰大肌侧方椎间融合术及经皮器械固定治疗1度L3 - 4腰椎滑脱。文中提供了详细的分步技术及手术要点,以帮助外科医生将机器人导航的细微之处融入到单体位俯卧位侧方手术中。视频链接如下:https://stream.cadmore.media/r10.3171/2025.4.FOCVID24148

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本文引用的文献

1
Learning curves in robot-assisted spine surgery: a systematic review and proposal of application to residency curricula.机器人辅助脊柱手术的学习曲线:系统评价及对住院医师培训课程应用的建议。
Neurosurg Focus. 2022 Jan;52(1):E3. doi: 10.3171/2021.10.FOCUS21496.
2
Is There a Difference in Screw Accuracy, Robot Time Per Screw, Robot Abandonment, and Radiation Exposure Between the Mazor X and the Renaissance? A Propensity-Matched Analysis of 1179 Robot-Assisted Screws.Mazor X与Renaissance在螺钉置入精度、每颗螺钉的机器人操作时间、机器人放弃操作以及辐射暴露方面是否存在差异?对1179例机器人辅助螺钉置入进行倾向匹配分析。
Global Spine J. 2023 Jun;13(5):1286-1292. doi: 10.1177/21925682211029867. Epub 2021 Jul 8.
3
Mazor X Stealth Robotic Technology: A Technical Note.
Mazor X 机器人智能导航骨科手术系统:技术说明。
World Neurosurg. 2021 Jan;145:435-442. doi: 10.1016/j.wneu.2020.10.010. Epub 2020 Oct 12.
4
Robotic-assisted cortical bone trajectory (CBT) screws using the Mazor X Stealth Edition (MXSE) system: workflow and technical tips for safe and efficient use.机器人辅助皮质骨轨迹(CBT)螺钉使用 Mazor X Stealth Edition(MXSE)系统:安全有效使用的工作流程和技术提示。
J Robot Surg. 2021 Feb;15(1):13-23. doi: 10.1007/s11701-020-01147-7. Epub 2020 Sep 28.
5
The use of robotics in minimally invasive spine surgery.机器人技术在微创脊柱手术中的应用。
J Spine Surg. 2019 Jun;5(Suppl 1):S31-S40. doi: 10.21037/jss.2019.04.16.