Robotic-assisted cortical bone trajectory (CBT) screws using the Mazor X Stealth Edition (MXSE) system: workflow and...

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Medical Robotics

Background:

• Robotic-assisted spine surgery offers improved precision, accuracy, and reduced radiation exposure.
• Technical errors can still lead to screw malposition, emphasizing the need for surgeon proficiency.
• A learning curve exists for robotic surgical systems.

Purpose of the Study:

• To demonstrate the setup and workflow of a combined navigation and robotic spine surgery platform.
• To detail the efficient placement of cortical-based trajectory (CBT) screws using the Mazor X Stealth Edition (MXSE) system.
• To provide technical tips and pearls for minimizing screw malposition risk.

Main Methods:

• Utilizing the Mazor X Stealth Edition (MXSE) system for robotic-assisted spine surgery.
• Implementing a combined navigation and robotic platform.
• Performing surgical planning, operating room setup, robotic arm mounting, and registration.
• Placing cortical-based trajectory (CBT) screws.

Main Results:

• The study outlines a comprehensive workflow for robotic-assisted CBT screw placement.
• Technical tips are provided to enhance efficiency and reduce malposition risk.
• The MXSE system facilitates accurate screw placement within a navigated robotic framework.

Conclusions:

• Mastery of the MXSE system and its workflow is crucial for safe and accurate robotic-assisted spine surgery.
• The demonstrated procedure minimizes the risk of screw malposition through meticulous planning and execution.
• This approach enhances the safety and efficacy of spine surgery interventions.