Pai M, Srinivasa V, Soni A, Thirugnanam B, Kashyap A, Vidyadhara A, Rao S K
Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Manipal Institute of Robotic Spine Surgery, Manipal Comprehensive Spine Care Center, Manipal Hospital, Old Airport Road, Bengaluru, India.
Musculoskelet Surg. 2025 Sep 1. doi: 10.1007/s12306-025-00918-5.
Cervical spine surgeries pose unique challenges due to the proximity of critical structures and limited visualization with traditional techniques. Robotic assistance offers potential solutions by providing precise navigation and reducing radiation exposure. We present a series of 30 consecutive patients undergoing various cervical spine procedures utilizing the MazorX Stealth Edition (MXSE) robotic system with intraoperative imaging.
Anterior and posterior surgeries were performed using the MXSE system. Surgical parameters, implant placement accuracy, and patient outcomes were assessed. Data analysis included anthropometric measurements, surgical times, blood loss, radiation exposure, and patient-reported outcomes.
Mean age was 52.43 years, with 43.33% females. Procedures included anterior cervical discectomy and fusion, corpectomy, disc replacement, and posterior decompression and fusion. Implant placements were accurate, with no neurological deficits or reoperations. Surgical parameters were comparable to standard techniques.
Robotic assistance offers accurate implant placement and reduced radiation exposure. Challenges such as vertebra segmentation and surgical approach were addressed. Further research and instrument development are needed for wider adoption.
Robotic navigation in cervical spine surgeries enhances precision and safety. Continued advancements in technology and technique are essential for broader implementation.
由于关键结构位置相近且传统技术可视化受限，颈椎手术面临独特挑战。机器人辅助通过提供精确导航和减少辐射暴露提供了潜在解决方案。我们展示了连续30例接受各种颈椎手术的患者，这些手术使用了带有术中成像的MazorX Stealth Edition（MXSE）机器人系统。
使用MXSE系统进行前路和后路手术。评估手术参数、植入物放置准确性和患者预后。数据分析包括人体测量、手术时间、失血量、辐射暴露和患者报告的预后。
平均年龄为52.43岁，女性占43.33%。手术包括颈椎前路椎间盘切除融合术、椎体次全切除术、椎间盘置换术以及后路减压融合术。植入物放置准确，无神经功能缺损或再次手术情况。手术参数与标准技术相当。
机器人辅助可实现准确的植入物放置并减少辐射暴露。解决了诸如椎体分割和手术入路等挑战。需要进一步研究和器械开发以实现更广泛应用。
颈椎手术中的机器人导航提高了精确性和安全性。技术和技巧的持续进步对于更广泛的应用至关重要。
