scholarly journals Smart Device Based Application for Rod Determination in Minimal Invasive Spine Surgery

10.29007/cb4k ◽  
2018 ◽  
Author(s):  
Andreas Alk ◽  
Tobias Martin ◽  
Josef Kozak
Keyword(s):  
Spine Surgery ◽  
Pedicle Screws ◽  
Minimal Invasive ◽  
Rigid Bodies ◽  
Smart Device ◽  
Test Scenario ◽  
Traumatic Injuries ◽  
Position Data ◽  
Best Fitting ◽  
Minimal Invasive Spine Surgery

In orthopaedic spine surgery pedicle screw systems are used for stabilisation of the spine after injuries or disorders. With an percutaneous operation method surgeons are faced with huge challenges compared to an open surgery, but it`s less traumatic and the patient benefits with a faster rehabilitation and less traumatic injuries. The screw positions and the required rod dimensions for the stabilizing connection between the screws are hard to define without an open view on the operating field. Because of these facts a new smart device based system for rod shape determination was invented. Therefore, an application was developed, which integrates a localizer module to get the position data of the pedicle screws, with help of rigid bodies placed on top of the pedicle screws down-tubes. An algorithm was developed to choose the best fitting rod to connect the pedicle screws with help of calculating the rod length and the rod radius. The system was tested in a test scenario where four pedicle screws were drilled into a wooden plate. The positions of the screws were adjusted to fit a curved and a straight rod. In the test scenario the application chose always the rod correctly.

scholarly journals Is 2D Fluoroscopy Reliable in Minimal Invasive Spine Surgery? Evaluation of Perforation Indices in MIS-TLIF

2020 ◽  
Vol 5 (2) ◽  
pp. 57-63
Author(s):  
Mohit Kumar Meena ◽  
Vishal G Kundnani ◽  
Ankit Patel ◽  
Sanyam Jain ◽  
Jwalant Y Patel ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Minimal Invasive ◽  
Minimal Invasive Spine Surgery

Role of Minimal Invasive Spine Surgery Techniques in Thoracolumbar Burst Fractures

2019 ◽  
Vol 16 (01) ◽  
pp. 33-37 ◽  
Author(s):  
Kanwaljeet Garg ◽  
Deepak Agrawal
Keyword(s):  
Spine Surgery ◽  
Minimal Invasive ◽  
Management Options ◽  
Thoracolumbar Burst Fractures ◽  
Burst Fractures ◽  
Minimal Invasive Spine Surgery

AbstractThoracolumbar burst fractures are one of the most common traumatic fractures seen. Management options vary from nonoperative to operative. Among the operative approaches, minimal invasive approaches are gaining popularity. However, all the cases are not suitable for minimal invasive approaches. We discuss the various minimal invasive approaches and their role in the management of thoracolumbar burst fractures.

Minimal-invasive lumbale Wirbelsäulenchirurgie: historischer Rückblick, aktueller Stand und Ausblick

Praxis ◽  
2014 ◽  
Vol 103 (22) ◽  
pp. 1323-1329 ◽  
Author(s):  
Oliver P. Gautschi ◽  
Martin N. Stienen ◽  
Marco V. Corniola ◽  
Karl Schaller
Keyword(s):  
Spine Surgery ◽  
Minimal Invasive ◽  
Perioperativer Blutverlust ◽  
Minimal Invasive Spine Surgery

Die lumbale Wirbelsäulenchirurgie ist seit Jahrzehnten von sogenannten «offenen dorsalen Zugängen» geprägt, die – obwohl etabliert – mit z.T. erheblichen Kollateralschäden im Bereich des operativen Zugangsweges assoziiert sind. Seit über zehn Jahren gibt es zunehmend minimal-invasive spinale Operationsmethoden (minimal invasive spine surgery, MISS), die deutlich weniger destruktiv und weniger traumatisch sind. Zu den Vorteilen zählen unteren anderem kleinere Hautinzisionen, geringeres Weichteil- und Muskeltrauma, geringerer perioperativer Blutverlust, erniedrigte Infektionsrate, raschere Mobilisierung, kürzerer Spitalaufenthalt und raschere postoperative Arbeitsfähigkeit. Diese Vorteile müssen jedoch gegenüber potenziellen Nachteilen abgewogen werden, zu welchen unter anderem eine erschwerte Orientierung für den Chirurgen, steilere Lernkurve sowie eine vermehrte Strahlenbelastung gehören. Dieser Artikel gibt einen Überblick über die Evolution und die aktuellen Möglichkeiten der MISS.

Efficacy of 2-Octylcyanoacrylate Glue in Minimal Invasive Spine Surgery

2009 ◽  
Vol 5 (2) ◽  
pp. 57 ◽  
Author(s):  
Hyun-Jeong Yang ◽  
Sang-A Choi ◽  
Hee-Ju Lee ◽  
Eun-Ah Song ◽  
Sae-Moon Oh ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Minimal Invasive ◽  
Minimal Invasive Spine Surgery

Minimal invasive spine surgery

2018 ◽  
Vol 66 (4) ◽  
pp. 1219
Author(s):  
Jayesh Sardhara ◽  
Sudhir Dube
Keyword(s):  
Spine Surgery ◽  
Minimal Invasive ◽  
Minimal Invasive Spine Surgery

scholarly journals Does the application of Robotics improve outcomes of pedicle screw insertion in spine surgery compared to conventional fluoroscopy guidance? A protocol for Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Vishal Kumar ◽  
Vishnu Baburaj ◽  
Prasoon Kumar ◽  
Sarvdeep Singh Dhatt
Keyword(s):  
Systematic Review ◽  
Pedicle Screw ◽  
Clinical Outcomes ◽  
Spine Surgery ◽  
Meta Analysis ◽  
Pedicle Screws ◽  
Screw Placement ◽  
Screw Insertion ◽  
Pedicle Screw Insertion ◽  
Fluoroscopy Guidance

AbstractBackgroundPedicle screw insertion is routinely carried out in spine surgery that has traditionally been performed under fluoroscopy guidance. Robotic guidance has recently gained popularity in order to improve the accuracy of screw placement. However, it is unclear whether the use of robotics alters the accuracy of screw placement or clinical outcomes.ObjectivesThis systematic review aims to compare the results of pedicle screws inserted under fluoroscopy guidance, with those inserted under robotic guidance, in terms of both short-term radiographic outcomes, as well as long-term clinical outcomes.MethodsThis systematic review will be conducted according to the PRISMA guidelines. A literature search will be conducted on the electronic databases of PubMed, Embase, Scopus, and Ovid with a pre-determined search strategy. A manual bibliography search of included studies will also be done. Original articles in English that directly compare pedicle screw insertion under robotic guidance to those inserted under fluoroscopy guidance will be included. Data on outcomes will be extracted from included studies and analysis carried out with the help of appropriate software.

Ninety-day complication, revision, and readmission rates for current-generation robot-assisted thoracolumbar spinal fusion surgery: results of a multicenter case series

2021 ◽  
pp. 1-8
Author(s):  
Jason I. Liounakos ◽  
Asham Khan ◽  
Karen Eliahu ◽  
Jennifer Z. Mao ◽  
Christopher R. Good ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Revision Surgery ◽  
Readmission Rate ◽  
Revision Rate ◽  
Case Series ◽  
Pedicle Screws ◽  
Robot Assisted ◽  
Readmission Rates ◽  
Current Generation ◽  
Guidance Systems

OBJECTIVE Robotics is a major area for research and development in spine surgery. The high accuracy of robot-assisted placement of thoracolumbar pedicle screws is documented in the literature. The authors present the largest case series to date evaluating 90-day complication, revision, and readmission rates for robot-assisted spine surgery using the current generation of robotic guidance systems. METHODS An analysis of a retrospective, multicenter database of open and minimally invasive thoracolumbar instrumented fusion surgeries using the Mazor X or Mazor X Stealth Edition robotic guidance systems was performed. Patients 18 years of age or older and undergoing primary or revision surgery for degenerative spinal conditions were included. Descriptive statistics were used to calculate rates of malpositioned screws requiring revision, as well as overall complication, revision, and readmission rates within 90 days. RESULTS In total, 799 surgical cases (Mazor X: 48.81%; Mazor X Stealth Edition: 51.19%) were evaluated, involving robot-assisted placement of 4838 pedicle screws. The overall intraoperative complication rate was 3.13%. No intraoperative implant-related complications were encountered. Postoperatively, 129 patients suffered a total of 146 complications by 90 days, representing an incidence of 16.1%. The rate of an unrecognized malpositioned screw resulting in a new postoperative radiculopathy requiring revision surgery was 0.63% (5 cases). Medical and pain-related complications unrelated to hardware placement accounted for the bulk of postoperative complications within 90 days. The overall surgical revision rate at 90 days was 6.63% with 7 implant-related revisions, representing an implant-related revision rate of 0.88%. The 90-day readmission rate was 7.13% with 2 implant-related readmissions, representing an implant-related readmission rate of 0.25% of cases. CONCLUSIONS The results of this multicenter case series and literature review suggest current-generation robotic guidance systems are associated with low rates of intraoperative and postoperative implant-related complications, revisions, and readmissions at 90 days. Future outcomes-based studies are necessary to evaluate complication, revision, and readmission rates compared to conventional surgery.

Sign in / Sign up

Export Citation Format

Share Document