Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (3): 21-28.doi: 10.6040/j.issn.1671-7554.0.2022.1125

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Robotics/navigation-assisted pedicle screw implantation in spinal deformity correction surgery

Xinyu LIU1,*(),Donglai LI1,Wenlong ZHAO2,Zheng WANG1,Chao LI1,Lianlei WANG1,Suomao YUAN1,Yonghao TIAN1   

  1. 1. Department of Orthopedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
    2. Department of Orthopedics, The Third Hospital of Jinan, Jinan 250132, Shandong, China
  • Received:2022-09-30 Online:2023-03-10 Published:2023-03-24
  • Contact: Xinyu LIU E-mail:newyuliu@163.com

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Abstract:

Surgical robotics and navigation systems are the results of technological advances that start a new approach for accurate insertion of the pedicle screw in spine surgery. The anatomical complexity of the spinal region and its proximity to many important blood vessels and nerves, spinal deformities such as vertebral body rotation and variation, narrow pedicle, kyphosis and scoliosis place higher demands on the accuracy of spine surgery. Free-hand placement of pedicle screws relies heavily on operators' experience and intraoperative judgment, but does not allow surgeons to monitor the process of insertion. As a result, the misplacement rate is high. The robotic and navigation systems can provide real-time, three-dimensional images during the operation. Thus, they can assist surgeons in adjusting screws promptly, improving the safety and accuracy of the operation and reducing surgical incision and radiation exposure. However, the expensive equipment costs, long learning curve and high radiation exposure for patients cannot be ignored. Despite the lack of research on long-term outcomes and the uncertainty of intraoperative radiation exposure, robotic and navigation systems have influenced the development of spinal deformity correction surgery.

Key words: Surgery robotics, Navigation, Spinal deformity, Radiation exposure, Accuracy of pedicle screw

CLC Number: 

  • R687.1
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