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
Medicine, General & Internal
Wolfgang Senker, Harald Stefanits, Matthias Gmeiner, Wolfgang Trutschnig, Christian Radl, Andreas Gruber
Summary: This study focused on the impact of smoking on minimally invasive fusion procedures of the lumbar spine. The results showed that smokers were significantly younger and that smoking did not have a significant effect on perioperative complication rates. Minimally invasive fusion techniques appear to be a suitable tool for treating degenerative spinal disorders in smokers.
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)
Review
Surgery
Himam Murad, Biying Huang, Nelson Ndegwa, Ioannis Rouvelas, Fredrik Klevebro
Summary: The risk of post-esophagectomy hiatal hernia is significantly higher after minimally invasive esophagectomy compared to the open technique. Future studies should focus on exploring preventive measures to reduce PEHH after minimally invasive esophagectomy.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
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
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
Clinical Neurology
Pramod N. Kamalapathy, Varun Puvanesarajah, Sean Sequeria, Joshua Bell, Hamid Hassanzadeh
Summary: The study found that outpatient ACDF procedures are associated with lower risks of complications such as dysphagia within 24 hours, minor and major medical complications within 90 days, and reduced hospital resource utilization, including readmissions and emergency room visits. Surgeons should consider carefully selected patients for outpatient ACDF procedures based on these findings.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
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
Clinical Neurology
Florian Wanivenhaus, David Ephraim Bauer, Christoph Laux, Christoph Stern, Frederic Cornaz, Oliver Wetzel, Jose Miguel Spring, Michael Betz, Mazda Farshad
Summary: This study aimed to identify preoperative parameters associated with postoperative L5 pedicle fracture after L4/5 posterior instrumented spinal fusion. The results showed that risk factors included female gender, higher pelvic incidence, sacral slope, L5 slope, L5 incidence, and lumbar lordosis postoperatively. These findings are important for surgical planning and fusion level decisions.
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)
