Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Orthopaedic Surgery & Biomedical Engineering, Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Neurosurg Clin N Am. 2024 Apr;35(2):263-272. doi: 10.1016/j.nec.2023.11.005. Epub 2023 Dec 6.
Applications and workflows around spinal robotics have evolved since these systems were first introduced in 2004. Initially approved for lumbar pedicle screw placement, the scope of robotics has expanded to instrumentation across different regions. Additionally, precise navigation can aid in tumor resection or spinal lesion ablation. Robot-assisted surgery can improve accuracy while decreasing radiation exposure, length of hospital stay, complication, and revision rates. Disadvantages include increased operative time, dependence on preoperative imaging among others. The future of robotic spine surgery includes automated surgery, telerobotic surgery, and the inclusion of machine learning or artificial intelligence in preoperative planning.
脊柱机器人的应用和工作流程自 2004 年首次引入以来已经发生了变化。最初被批准用于腰椎椎弓根螺钉放置,机器人的范围已经扩展到不同区域的器械。此外,精确导航可以帮助进行肿瘤切除或脊柱病变消融。机器人辅助手术可以提高准确性,同时减少辐射暴露、住院时间、并发症和翻修率。缺点包括手术时间增加、对术前成像的依赖等。机器人脊柱手术的未来包括自动化手术、远程机器人手术以及在术前规划中纳入机器学习或人工智能。