robotic spine surgery
TRANSCRIPT
Surgical Workstation CT-based 3D Planning Software
RBT Device and Guiding Cannula
Renaissance™ Surgical Guidance System
Clinical Evidence
98.3% Accuracy of 3,271 implants in 635 cases in 14 medical centers
with 49% of implants placed percutaneously
(typically 10%-20% of spine surgeries are MIS)
Devito DP, Kaplan L, Dietl R, et al. Clinical acceptance and accuracy assessment of spinal implants guided with SpineAssist surgical robot: retrospective study. Spine J. 2010;35(24):2109-2115.
Compared to freehand surgery, in 112 cases Mazor Robotics-guided surgery significantly:Improved implant accuracy by 70%
Reduced X-ray dosage by 56%
Reduced complication rates by 48%
Reduced re-operations 46%
Reduced average length of stay 27%
Kantelhardt SR, Martinez R, Baerwinkel S, Burger R, GieseA, Rohde V. Perioperative course and accuracy of screwpositioning in conventional, open robotic-guided andpercutaneous robotic-guided, pedicle screw placement.Eur Spine J. 2011;20(6):860-868.
Clinical Evidence
99.7% Accuracy of 1,815 implants in 120 scoliotic adolescents
Devito DP, Gaskill T, Erikson M, Fernandez M. Robotic based guidance for pedicle screw instrumentation of the scoliotic spine. Presented at Pediatric Society of North America (POSNA); May 2011; Montreal, Canada.
Clinical Evidence
The Robot does not replace the surgeon !
But an experienced and good spine surgeon can push the boundaries in tackling some extremely complex problems.
Mr. R : TLIF L3-L4, L4-L5, L5-S1
Mr. SSS : TLIF L4-L5
Mr. MS : Ankylosing Spondylitis Kyphotic deformity correction
Mr. R : Adult Degenerative Kyphoscoliosis deformity correction
Mr. ASM : Minimally Invasive TLIF L5S1 B/L
Ms. PS : Adolescent Idiopathic severe rigid Lumbar Scoliosis deformity correction
Mr. PLC : Minimally Invasive TLIF L4-L5
Ms. PK : D12 Tumour biopsy + stabilization
Mr. A : Minimally Invasive TLIF L3-L4
Ms. SD : TLIF L4-5, L5-S1
Ms. HKS : Severe rigid congenital Thoracolumbar Scoliosis deformity correction
Surgeries done using Mazor Spine Robotic System
The Apollo Spine Group
Thank you