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Robotic Assistance for Minimally Invasive Cervical Pedicle Instrumentation: Report on Feasibility and Safety
- Source :
- World Neurosurgery, World Neurosurgery, 2021, 150, pp.e777-e782. ⟨10.1016/j.wneu.2021.03.150⟩
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- International audience; BackgroundAccurate screw placement remains challenging, especially in the cervical spine. We present our first experience of minimally invasive posterior cervical and upper thoracic pedicle screw fixation in the lower cervical spine.MethodsThis study reports a case series of patients, undergoing posterior percutaneous pedicle fixation using Cirq robotic assistance coupled to the Airo intraoperative computed tomography scan and Brainlab navigation system. Routine computed tomography was performed on postoperative day 2 to evaluate pedicle screw placement. The effective dose was calculated.ResultsBetween February 2020 and December 2020, 7 patients (4 men and 3 women) were treated. The mean age was 58.8 years (range, 29–75 years). Fixation was performed with a cannulated PASS OCT Reconstruction System (Medicrea). Overall, 28 screws were placed within cervical and upper thoracic pedicles. According to the Neo and Heary classification, 85.7% were rated as acceptable and 14.3% as poor. The radiation dose received by the patient was 9.1 mSv (range, 7.7–10.6 mSv). The radiation dose received by the surgical staff was 0 mSv. The postoperative course was excellent.ConclusionsPosterior miniopen fixation using Cirq robotic assistance coupled with an intraoperative computed tomography navigation system is a major innovation that can improve the accuracy of pedicle screw positioning, with acceptable patient radiation and reduced surgical team exposure.
- Subjects :
- Adult
Male
Research Report
[SDV.OT]Life Sciences [q-bio]/Other [q-bio.OT]
medicine.medical_specialty
Percutaneous
Cirq robotic
03 medical and health sciences
0302 clinical medicine
Robotic Surgical Procedures
Pedicle Screws
Cervical spine
Humans
Minimally Invasive Surgical Procedures
Medicine
Minimally invasive
Pedicle screw fixation
Pedicle screw
Aged
Retrospective Studies
Fixation (histology)
Surgical team
business.industry
Radiation dose
Mean age
Middle Aged
030220 oncology & carcinogenesis
Cervical Vertebrae
Feasibility Studies
Female
Spinal Diseases
Surgery
Neurology (clinical)
Radiology
business
030217 neurology & neurosurgery
Airo navigation
Subjects
Details
- ISSN :
- 18788750 and 18788769
- Volume :
- 150
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....30ac372943f03b57e9e3bb159ff597ea