robotic spine surgery

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Page 1: Robotic spine surgery
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Surgical Workstation CT-based 3D Planning Software

RBT Device and Guiding Cannula

Renaissance™ Surgical Guidance System

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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.

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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

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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

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The Robot does not replace the surgeon !

But an experienced and good spine surgeon can push the boundaries in tackling some extremely complex problems.

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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

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The Apollo Spine Group

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Thank you