Article
Clinical Neurology
Christopher R. Good, Lindsay Orosz, Samuel R. Schroerlucke, Andrew Cannestra, Jae Y. Lim, Victor W. Hsu, Faissal Zahrawi, Hunaldo J. Villalobos, Pedro M. Ramirez, Thomas Sweeney, Michael Y. Wang
Summary: This study aimed to compare the outcomes of robotic-guidance and fluoro-guidance techniques in adult lumbar fusions. The results showed that the robotic-guidance group had a lower risk of surgical complications and revision surgery, with an 80% reduction in fluoroscopy time per screw.
Article
Clinical Neurology
Diogo Garcia, Oluwaseun O. Akinduro, Gaetano De Biase, Bernardo Sousa-Pinto, Daniel J. Jerreld, Ruchita Dholakia, Bijan Borah, Eric Nottmeier, H. Gordon Deen, W. Christopher Fox, Mohamad Bydon, Selby Chen, Alfredo Quinones-Hinojosa, Kingsley Abode-Iyamah
Summary: This study aimed to compare robotic-assisted and nonrobotic-assisted minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) through a cost-utility analysis. The results suggested that robotic-assisted MIS-TLIF was cost-effective in 63% of simulations at a willingness to pay of $50,000/quality-adjusted life year (QALY).
Article
Medicine, General & Internal
Quan-You Gao, Fei-Long Wei, Tian Li, Kai-Long Zhu, Ming-Rui Du, Wei Heng, Fan Yang, Hao-Ran Gao, Ji-Xian Qian, Cheng-Pei Zhou
Summary: This study compared the outcomes and complications of patients with lumbar spinal stenosis (LSS) undergoing oblique lateral interbody fusion (OLIF) or minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). The results showed that OLIF and MIS-TLIF had similar postoperative improvements, but OLIF was more successful at restoring disc height, foraminal height, and lumbar lordotic angle. The complication rates were comparable between the two procedures.
FRONTIERS IN MEDICINE
(2022)
Article
Oncology
Felix Ehret, Markus Kufeld, Christoph Furweger, Alfred Haidenberger, Paul Windisch, Carolin Senger, Melina Kord, Malte Trager, David Kaul, Christian Schichor, Jorg-Christian Tonn, Alexander Muacevic
Summary: The study reports treatment outcomes of spinal ependymomas using robotic radiosurgery (RRS) from two institutions, showing that RRS is a safe and efficient treatment modality for managing primary and secondary spinal ependymal tumors in patients with multiple lesions and local recurrences.
FRONTIERS IN ONCOLOGY
(2021)
Review
Surgery
Fedan Avrumova, Darren R. Lebl
Summary: Augmented reality (AR) is an emerging technology that overlays computer graphics onto the real world and enhances visual feedback from information systems. Its application in medicine, specifically in minimally invasive spine surgery (MISS), is of great importance. AR navigation provides auditory and haptic feedback, improving surgeons' capabilities and safety.
FRONTIERS IN SURGERY
(2023)
Article
Clinical Neurology
Elliot Yeung Chong, Lenice Yue Tong Tan, Christoph Sheng Chong, William Yeo, Don Thong Siang Koh, Lei Jiang, Chang Ming Guo, Reuben C. Cheong Soh
Summary: This retrospective cohort study compared the radiological and clinical outcomes of 2-level minimally invasive (MIS) trans-psoas lateral lumbar interbody fusion (LLIF) and MIS transforaminal lumbar interbody fusion (TLIF) for degenerative lumbar spinal stenosis. The study found that LLIF had superior radiological outcomes in terms of restoration of disc height, foraminal height, segmental lordosis, lumbar lordosis, and pelvic incidence-lumbar lordosis mismatch, but there were no significant differences in clinical outcomes compared to TLIF at the 2-year follow-up.
GLOBAL SPINE JOURNAL
(2022)
Article
Oncology
Felix Ehret, Lucas Mose, Markus Kufeld, Christoph Fuerweger, Paul Windisch, Alfred Haidenberger, Christian Schichor, Joerg-Christian Tonn, Alexander Muacevic
Summary: This study investigated the efficacy and safety of single-session robotic radiosurgery for spinal metastasis recurrences occurring in the same initial location due to advancements in medical technology. The results showed that this treatment modality is safe, time-saving, and effective, with outcomes comparable to reirradiated metastases in boundary areas.
FRONTIERS IN ONCOLOGY
(2021)
Article
Clinical Neurology
Matthew Sklar, Parastou Fatemi, Harsh Wadhwa, Christopher Leung, Corinna Zygourakis
Summary: The 7D Surgical System utilizes optical topographic imaging for rapid registration from a pre-operative CT scan onto anatomical landmarks without intra-operative radiation exposure, making it suitable for revision surgery despite potential interference with typical anatomical landmarks. Registration can be done off prior hardware, allowing for accurate, simple, and efficient operations during revision spinal fusion.
JOURNAL OF CLINICAL NEUROSCIENCE
(2021)
Article
Surgery
Aria M. Jamshidi, Dustin H. Massel, Jason I. Liounakos, Zmira Silman, Christopher R. Good, Samuel R. Schroerlucke, Andrew Cannestra, Victor Hsu, Jae Lim, Faissal Zahrawi, Pedro M. Ramirez, Thomas M. Sweeney, Michael Y. Wang
Summary: Robotic navigation systems significantly reduce radiation exposure in spine surgeries, addressing the growing concern among surgeons performing minimally invasive procedures.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2021)
Article
Geriatrics & Gerontology
Yu-Feng Su, Tai-Hsin Tsai, Ann-Shung Lieu, Chih-Lung Lin, Chih-Hui Chang, Cheng-Yu Tsai, Hui-Yuan Su
Summary: This retrospective study evaluated the rate of screw loosening and the clinical outcomes of bonemounted miniature robot-assisted pedicle screw placement in patients with degenerative spinal disease. The study found that the robotic system resulted in accurate screw placement and an acceptable screw loosening rate in patients with osteoporosis compared to those with normal bone mineral density.
CLINICAL INTERVENTIONS IN AGING
(2022)
Article
Orthopedics
Mengmeng Chen, Pu Jia, Fei Feng, Hai Tang
Summary: This retrospective cohort study investigated the clinical efficacy and safety of minimally invasive inter-spinal distraction fusion (ISDF) technique for treating lumbar spinal stenosis (LSS) in octogenarian patients. The results showed that ISDF surgery provides similar clinical efficacy, shorter operative time, less blood loss, shorter hospital stay time, and fewer complications compared to traditional posterior lumbar interbody fusion (PLIF) surgery, making it a viable option for octogenarian patients with LSS.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Medicine, General & Internal
Masayuki Ishihara, Shinichirou Taniguchi, Takashi Adachi, Yoichi Tani, Masaaki Paku, Muneharu Ando, Takanori Saito
Summary: This retrospective study evaluated the clinical outcomes of CMIS in ASD patients and identified the risk factors for achieving postoperative PI-LL < 10 degrees. The study found that PI-LL after LLIF > 20 degrees was a significant risk factor for postoperative PI-LL < 10 degrees.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Nils H. Ulrich, Jakob M. Burgstaller, Fabio Valeri, Giuseppe Pichierri, Michael Betz, Tamas F. Fekete, Maria M. Wertli, Francois Porchet, Johann Steurer, Mazda Farshad
Summary: This study analyzed the incidence of revision surgery and other outcome measures in patients undergoing different types of operations for degenerative lumbar spinal stenosis (DLSS). The results showed that there was no significant association between the type of index operation and the need for revision surgery.
Article
Clinical Neurology
Kalpesh Hathi, Erin Bigney, Eden Richardson, Tolu Alugo, Dana El-Mughayyar, Amanda Vandewint, Neil Manson, Edward Abraham, Chris Small, Kenneth Thomas, Charles G. Fisher, Y. Raja Rampersaud, Hamilton Hall, Greg McIntosh, Michael G. Johnson, Christopher S. Bailey, Michael H. Weber, Jerome Paquet, Stephen Kingwell, Andrew Nataraj, Joel Finkelstein, Adrienne Kelly, Najmedden Attabib
Summary: This study compared the outcomes of minimally invasive surgery (MIS) and open surgery for lumbar spinal stenosis (LSS) in patients with diabetes. The results showed that MIS approaches were associated with less blood loss and shorter hospital stay. Additionally, patients who underwent MIS decompression with fusion had lower disability and back pain levels at 1-year post-operation compared to those who underwent open surgery. More patients in the MIS group also exceeded the minimum clinically important difference.
GLOBAL SPINE JOURNAL
(2023)
Article
Orthopedics
Francis Lovecchio, Pratyush Shahi, Alpesh Patel, Sheeraz Qureshi
Summary: Minimally invasive adult spinal deformity (MIS ASD) surgery can be advantageous in certain circumstances compared to conventional techniques. The success of the procedure depends on proper patient selection, restoring adequate alignment, and optimizing fusion. In the past, the limited availability of MIS techniques was due to the need for patient repositioning, resulting in increased surgical time and potential risks. Recent developments allow for single-position, MIS correction of adult deformities, but further research is required to determine the ideal patient and the best outcomes between prone and lateral single-position approaches.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
