Novel use of robotics and navigation for anterior lumbar total disc replacement surgery

The ability to navigate the anterior lumbar disc space may improve clinical outcomes and implant longevity. However, no robotic navigation systems are presently authorized by the U.S. Food and Drug Administration to assist with anterior retroperitoneal lumbar interbody surgery. Furthermore, no studi...

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Main Authors: Julia M. Balboni, Khawar Siddique, Edward K. Nomoto, Albert P. Wong, Parham Yashar, Patrick S. Hill, Robert Smith, Kristen Perri, Brian R. Perri
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:North American Spine Society Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666548421000494
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author Julia M. Balboni
Khawar Siddique
Edward K. Nomoto
Albert P. Wong
Parham Yashar
Patrick S. Hill
Robert Smith
Kristen Perri
Brian R. Perri
author_facet Julia M. Balboni
Khawar Siddique
Edward K. Nomoto
Albert P. Wong
Parham Yashar
Patrick S. Hill
Robert Smith
Kristen Perri
Brian R. Perri
author_sort Julia M. Balboni
collection DOAJ
description The ability to navigate the anterior lumbar disc space may improve clinical outcomes and implant longevity. However, no robotic navigation systems are presently authorized by the U.S. Food and Drug Administration to assist with anterior retroperitoneal lumbar interbody surgery. Furthermore, no studies to date have investigated such an application of this technology. This study examines the application of robotic navigation to anterior lumbar total disc replacement surgery to improve retroperitoneal exposure and orientation of the anterior lumbar spine, enhance coronal plane centralization of the implant, optimize surgical trajectory, and mitigate radiologic exposure. Postoperative outcomes of a small cohort of patients undergoing anterior lumbar total disc replacement surgery using robotic navigation were analyzed. The results of the study revealed that a modified use of the aforementioned robot-assisted surgical technology enhances coronal plane centralization and trajectory, all while mitigating radiologic exposure, resulting in more accurate placement of the implant within the intervertebral space at each level.
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spelling doaj.art-64b8c42ea2c6446b90721475e68a93ff2022-12-21T18:12:16ZengElsevierNorth American Spine Society Journal2666-54842022-03-019100097Novel use of robotics and navigation for anterior lumbar total disc replacement surgeryJulia M. Balboni0Khawar Siddique1Edward K. Nomoto2Albert P. Wong3Parham Yashar4Patrick S. Hill5Robert Smith6Kristen Perri7Brian R. Perri8DOCS HEALTH Los Angeles, California October 4th, 2021DOCS HEALTH Los Angeles, California October 4th, 2021DOCS HEALTH Los Angeles, California October 4th, 2021DOCS HEALTH Los Angeles, California October 4th, 2021DOCS HEALTH Los Angeles, California October 4th, 2021DOCS HEALTH Los Angeles, California October 4th, 2021DOCS HEALTH Los Angeles, California October 4th, 2021DOCS HEALTH Los Angeles, California October 4th, 2021Corresponding author.; DOCS HEALTH Los Angeles, California October 4th, 2021The ability to navigate the anterior lumbar disc space may improve clinical outcomes and implant longevity. However, no robotic navigation systems are presently authorized by the U.S. Food and Drug Administration to assist with anterior retroperitoneal lumbar interbody surgery. Furthermore, no studies to date have investigated such an application of this technology. This study examines the application of robotic navigation to anterior lumbar total disc replacement surgery to improve retroperitoneal exposure and orientation of the anterior lumbar spine, enhance coronal plane centralization of the implant, optimize surgical trajectory, and mitigate radiologic exposure. Postoperative outcomes of a small cohort of patients undergoing anterior lumbar total disc replacement surgery using robotic navigation were analyzed. The results of the study revealed that a modified use of the aforementioned robot-assisted surgical technology enhances coronal plane centralization and trajectory, all while mitigating radiologic exposure, resulting in more accurate placement of the implant within the intervertebral space at each level.http://www.sciencedirect.com/science/article/pii/S2666548421000494Anterior retroperitoneal total disc replacement surgeryLumbar spineRobotic navigationCoronal planeImplantAccuracy
spellingShingle Julia M. Balboni
Khawar Siddique
Edward K. Nomoto
Albert P. Wong
Parham Yashar
Patrick S. Hill
Robert Smith
Kristen Perri
Brian R. Perri
Novel use of robotics and navigation for anterior lumbar total disc replacement surgery
North American Spine Society Journal
Anterior retroperitoneal total disc replacement surgery
Lumbar spine
Robotic navigation
Coronal plane
Implant
Accuracy
title Novel use of robotics and navigation for anterior lumbar total disc replacement surgery
title_full Novel use of robotics and navigation for anterior lumbar total disc replacement surgery
title_fullStr Novel use of robotics and navigation for anterior lumbar total disc replacement surgery
title_full_unstemmed Novel use of robotics and navigation for anterior lumbar total disc replacement surgery
title_short Novel use of robotics and navigation for anterior lumbar total disc replacement surgery
title_sort novel use of robotics and navigation for anterior lumbar total disc replacement surgery
topic Anterior retroperitoneal total disc replacement surgery
Lumbar spine
Robotic navigation
Coronal plane
Implant
Accuracy
url http://www.sciencedirect.com/science/article/pii/S2666548421000494
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