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BMC Surgery

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Open Access 01-12-2022 | Research article

When giants talk; robotic dialog during thoracolumbar and sacral surgery

Authors: Josh E. Schroeder, Saadit Houri, Yoram A. Weil, Meir Liebergall, Rami Moshioff, Leon Kaplan

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

Spinal trauma patients treated in a specialized hybrid operating room (OR) using two robotic systems communicating during surgery.

Methods

Retrospective review of patients with thoracolumbar or sacral fractures who underwent surgical fixation between Jan 2017 to Jan 2020 with robotic-guided percutaneous pedicle screw insertion in the specialized hybrid OR with Robotic flat panel 3D C-arm (ArtisZeego) for intraoperative interventional imaging connected with the robotic-guidance platform Renaissance (Mazor Robotics).

Results

Twenty eight surgeries were performed in 27 patients; 23 with traumatic spinal fractures, 4 with multi-level thoracolumbar compression fractures due to severe osteoporosis. Average patient age 49 (range 12–86). Average radiation exposure time 40 s (range 12–114 s). Average radiation exposure dose 11,584 ± SD uGym² (range 4454–58,959). Lumber levels operated on were between T5 and S2 (shortest three vertebras and longest eight vertebras). 235 (range 5–11) trajectories were performed. All trajectories were accurate in all cases percutaneous pedicle screws placement was correct, without breach noted at the pedicle in any of the cases. No major complications reported. In all cases, follow-up X-rays showed adequate fracture reduction with restoration.

Conclusions

Merging of surgical robotics technologies increases patient safety and surgeon and patient confidence in percutaneous spine traumatic procedures.

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Title: When giants talk; robotic dialog during thoracolumbar and sacral surgery
Authors: Josh E. Schroeder
Saadit Houri
Yoram A. Weil
Meir Liebergall
Rami Moshioff
Leon Kaplan
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01546-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

When giants talk; robotic dialog during thoracolumbar and sacral surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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