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Review
. 2019 Jun;12(2):245-251.
doi: 10.1007/s12178-019-09558-2.

Robotic Guidance in Minimally Invasive Spine Surgery: a Review of Recent Literature and Commentary on a Developing Technology

Justin D Stull  1 , John J Mangan  2 , Alexander R Vaccaro  2   3 , Gregory D Schroeder  2   3
Affiliations
Review

Robotic Guidance in Minimally Invasive Spine Surgery: a Review of Recent Literature and Commentary on a Developing Technology

Justin D Stull et al. Curr Rev Musculoskelet Med. 2019 Jun.

Abstract

Purpose of review: Minimally invasive spine surgery (MIS) and robotic technology are growing in popularity and are increasing utilized in combination. The purpose of this review is to identify the current successes, potential drawbacks, and future directions of robotic guidance for MIS compared to traditional techniques.

Recent findings: Recent literature highlights successful incorporation of robotic guidance in MIS as a consistently accurate method for pedicle screw placement. With a short learning curve and low complication rates, robot guidance may also reduce the use of fluoroscopy, operative time, and length of hospital stay. Recent literature suggests that incorporating robotic guidance in MIS improves the accuracy of pedicle screw insertion and may have added benefits both intra- and postoperatively for the patient and provider. Future research should focus on direct comparison between MIS with and without robotic guidance.

Keywords: Fluoroscopy; MIS; Navigation; Pedicle; Robot; Spine.

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Conflict of interest statement

Justin Stull and John Mangan declare that they have no conflict of interest.

Gregory Schroeder has the following disclosures: Advance Medical: Paid consultant AOSpine: Other financial or material support Medtronic: Other financial or material support Medtronic Sofamor Danek: Research support Stryker: Paid consultant Wolters Kluwer Health - Lippincott Williams & Wilkins: Editorial or governing board Zimmer: Paid consultant.

Alex Vaccaro has the following disclosures: Advanced Spinal Intellectual Properties: Stock or stock Options Aesculap: IP royalties Atlas Spine: IP royalties; Paid consultant Avaz Surgical: Stock or stock Options Bonovo Orthopedics: Stock or stock Options Clinical Spine Surgery: Editorial or governing board Computational Biodynamics: Stock or stock Options Cytonics: Stock or stock Options DePuy, a Johnson & Johnson Company: Paid consultant Dimension Orthotics LLC: Stock or stock Options Electrocore: Stock or stock Options Elsevier: Publishing royalties, financial or material support Flagship Surgical: Stock or stock Options FlowPharma: Stock or stock Options Franklin Bioscience: Stock or stock Options Gamma Spine: Stock or stock Options Gerson Lehrman Group: Paid consultant Globus Medical: IP royalties; Paid consultant; Stock or stock Options Guidepoint Global: Paid consultant Innovative Surgical Design: Paid consultant; Stock or stock Options Insight Therapeutics: Stock or stock Options Jaypee: Publishing royalties, financial or material support Medtronic: IP royalties; Paid consultant none: Other financial or material support Nuvasive: Paid consultant; Stock or stock Options Orthobullets: Paid consultant Paradigm Spine: Stock or stock Options Parvizi Surgical Innovations: Stock or stock Options Prime Surgeons: Stock or stock Options Progressive Spinal Technologies: Stock or stock Options Replication Medica: Stock or stock Options Spine Journal: Editorial or governing board Spine Medica: Stock or stock Options SpineWave: IP royalties; Paid consultant Spinology: Stock or stock Options Stout Medical: Paid consultant; Stock or stock Options Stryker: IP royalties; Paid consultant Taylor Franics/Hodder & Stoughton: Publishing royalties, financial or material support Thieme: Publishing royalties, financial or material support Vertiflex: Stock or stock Options.

Figures

Fig. 1
Fig. 1
Pedicle screw insertion with robotic guidance. Positioning noted on display in real-time three-dimensional orientation. Through preoperative CT, and intraoperative localization, pedicle screw accuracy can be observed throughout pedicle preparation and pedicle screw insertion. a Pedicle screw preparation. b Pedicle screw insertion
See this image and copyright information in PMC

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