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Robot-assisted direct repair of spondylolysis: A case report
Wei Tian1,2, Qi Zhang1,2, Xiao-Guang Han1,2
1Department of Spine Surgery, Beijing Jishuitan Hospital.
Introduction:
Direct repair of the pars defect in lumbar spondylolysis is an effective surgical procedure, but it is technically challenging. We assessed the feasibility of a new robotic system for intralaminar screw fixation of spondylolysis.
Patient Concerns:
A 26-year-old man complained about frequent low back pain after failed conservative treatments.
Diagnosis:
The lumbar computed tomography images demonstrated the presence of bilateral spondylolysis at the L5 level, with no spondylolisthesis.
Interventions:
We performed one surgery of direct intralaminar screw fixation under the guidance of the TiRobot system. The trajectory of the screw was planned based on intraoperative 3-dimensional radiographic images. Then, the robotic arm spontaneously moved to guide the guide wires and screw insertion.
Outcomes:
Bilateral L5 intralaminar screws were safely and accurately placed. No intraoperative complications occurred. Postoperative computed tomography showed good radiological results, without cortical perforation.
Conclusion:
We report the first case of robot-assisted direct intralaminar screw fixation for spondylolysis using the TiRobot system. Robotic guidance for direct repair of spondylolysis could be feasible.
