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...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2022-03-01
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Series: | North American Spine Society Journal |
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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. |
first_indexed | 2024-12-22T21:18:24Z |
format | Article |
id | doaj.art-64b8c42ea2c6446b90721475e68a93ff |
institution | Directory Open Access Journal |
issn | 2666-5484 |
language | English |
last_indexed | 2024-12-22T21:18:24Z |
publishDate | 2022-03-01 |
publisher | Elsevier |
record_format | Article |
series | North American Spine Society Journal |
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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