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Robotic Spinal Fusion | Part 1

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Автор: Antonio J. Webb, M.D.

Загружено: 2022-08-30

Просмотров: 38800

Описание: In this video, Dr. Webb gives viewers a glimpse in the day in the life of a spine surgeon and shows you a live robotic spine surgery.

Check out part 2 here:    • Robotic Spinal Fusion | Part 2  

Thank you to Future for sponsoring this video! Work with a fitness coach who will keep you accountable. Try your first month with Future for just $19: https://tryfuture.co/antonio

To see Dr Webb as a patient, please contact:
Antonio J. Webb, MD
Orthopedic Spine Surgeon
South Texas Spinal Clinic
9150 Huebner Road Suite 290
San Antonio, Texas 78240
Office: 210-614-6432
Fax: 210-293-4171
www.spinaldoc.com
https://antoniowebbmd.com

What is robotic spine surgery?
Robotic spine surgery is a form of minimally invasive spine surgery that involves the use of a robotic arm to assist surgeons in the placement of screws and other hardware into the spine with accuracy and precision. Robots do NOT replace surgeons in performing your surgery, but simply augment the surgeon so surgery is done in a more precise manner. A true spinal surgery robot has yet to be created. Rather, they were designed to interact and assist surgeons – created in an attempt to make spine surgery safer and more efficient.

In addition, the spinal robot can assist surgeons in optimizing patient care by using computer navigation, much like a GPS in your car. The potential benefits for patients include a shorter hospital stay, less tissue damage and therefore less blood loss, less radiation exposure, and smaller incisions.

How Does it Work?
When using the spinal robot, Dr Webb is able to plan for your surgery using a computer application days and even weeks before surgery.

Using the computer application, Dr. Webb can use your imaging studies to determine the size and trajectory of your screws and hardware. Then a patient specific plan is made based off of your 3D anatomy. This plan is used to guide the rigid robotic arm to a specific region of your spine during surgery, similar to a planned route or pathway on a GPS. The surgeon uses this pathway or route to accurately place the pedicle screws and other hardware on the day of surgery. By doing this, Dr Webb will ensure the correct size implants and screws will be available the day of your surgery and also takes the guesswork out of performing your implantation. This not only saves time in surgery (meaning a shorter surgery), but also decreases complications of misplaced screws.

On the day of surgery, your CT images along with Dr. Webb’s plan (taking into account your specific anatomy) are imported into the robotic computer system. The arm of the robot is the. mounted onto the surgical bed as well as rigidly attached to your spine via a small pin that Dr.Webb will insert during surgery. The robotic arm can move in 6 degrees of freedom to provide the preplanned screw trajectory and entry point thereby allowing Dr. Webb to manually perform the drilling and screw insertion through either an open or percutaneous procedure. During surgery, the operator of the robot will be present to direct the robotic arm to specific areas of your spine to accurately place the screws and other hardware with precision.

Using computer guided navigation, in addition to the robot, allows Dr Webb to display the surgical instruments and implants on a computer screen for Dr. Webb and the rest of the operating room staff to monitor throughout the case. This display allows Dr. Webb to view live feedback during your procedure for more precise implant placement.

It is important to understand that the decision to receive minimally invasive robotic spine surgery is individualized to each patient and their symptoms. Dr. Webb will discuss whether you are a candidate for this procedure at your visit.

References
Lieberman IH, Kisinde S, Hesselbacher S. Robotic-Assisted Pedicle Screw Placement During Spine Surgery. JBJS Essent Surg Tech. 2020;10(2):e0020. Published 2020 May 21. doi:10.2106/JBJS.ST.19.00020

Vo CD, Jiang B, Azad TD, Crawford NR, Bydon A, Theodore N. Robotic Spine Surgery: Current State in Minimally Invasive Surgery. Global Spine J. 2020;10(2 Suppl):34S-40S. doi:10.1177/2192568219878131

Staub BN, Sadrameli SS. The use of robotics in minimally invasive spine surgery. J Spine Surg. 2019;5(Suppl 1):S31-S40. doi:10.21037/jss.2019.04.16

D’Souza M, Gendreau J, Feng A, Kim LH, Ho AL, Veeravagu A. Robotic-Assisted Spine Surgery: History, Efficacy, Cost, And Future Trends [published correction appears in Robot Surg. 2019 Dec 23;6:25]. Robot Surg. 2019;6:9-23. Published 2019 Nov 7. doi:10.2147/RSRR.S190720

MEDICAL DISCLAIMER
The information provided is not intended to be a substitute for professional medical advice, diagnosis or treatment. Never disregard professional medical advice, or delay in seeking it, because of something you have read on this website. Never rely on information on this website in place of seeking professional medical advice.

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