Professor MD Thomas Gösling
Minimally invasive spine systems are developing year after year. Presently they are used for most of spinal surgery operations. Minimally invasive approach provides precise surgery while reducing the body damage and related risks that normally associated with larger incisions. Modern robotic spine surgery goes as far as to control the process of surgery with special computerized system when all the manipulations are done not by hands but by robot.
Having the same goals as traditional spinal surgery to restore normal functioning of the spine as much as possible minimally invasive techniques, that are a few, have some specific distinctions as following:
Those features result in some advantages as
Development of minimally invasive spine surgery started from mini-open access that is still open operation, followed with tubular and endoscopic operations when a surgeon operates through the small hole in patient’s skin and finally came to the robotics systems that allow achieving extremely high accuracy in spine surgery.
The major computer system for robotic spine surgery is Renaissance® System developed by company Mazor Robotics. It works based on fluorescent imaging that allows viewing the site of surgery on the computer monitor. A surgeon makes a decision based on the digital images and command by robot guided tools that may achieve 1.5 mm preciseness in performing surgical manipulations on spine.
Robotic spine surgery is performed in a few steps.
Actually, the whole lot of work is done before surgery. First is blueprint is created based on CT scan images. The surgeon studies the images and plans all the manipulations of future surgery in advance. The port of approach is precisely calculated by computer system to provide better access.
The patient’s spine should be stabilized before intervention to avoid moving during the surgery. The surgeons do this with help of different specially stabilizing devices.
The two fluorescent images are taken to compare the blueprint with actual situation. At this stage surgeon may make a correction of preoperative blue print according to the images.
Once the surgery plan completely designed, the surgeon gives a command to robotic device to perform surgery according to the programmed sequencing.
Robotic spine surgery provides unseeing accuracy and safety during the surgery and allows designing a detailed plan for every patient beforehand.
No so far long ago another system was started using for robotic spine surgery, which is Da Vinci®. Widely used in urology, gynecology and plastic surgery robot Da Vinci® now came to spine surgery. It already proved itself in transoral spine surgery and anterior lumbar inter-body fusion. It sounds promising and, probably, over time it will be possible to find more field for applying of Da Vinci® in spine robotic surgery.
There are several fields of spine surgery where using robot guided systems especially beneficial. Here you find some examples of procedures done with robotic surgery:
Only your surgeon can decide whether you are a candidate for robotic spine surgery. The specialists of Spine Center of Clinic of Braunschweig, Germany always evaluate pros and cons of every method. We have numerous techniques for spine treatment in our hand and suggest only technique proper personally for you. If you are interested in robotic spine procedure, please apply online. We will take care of your spine.