Robotic navigation system utilization for percutaneous sacroiliac screw placement: surgical setup and technique

Area of Science:

• Orthopedic Surgery
• Spinal Surgery
• Medical Technology

Background:

• Sacroiliac joint (SIJ) pathology causes significant pain and disability.
• Traditional SIJ fusion is invasive; minimally invasive techniques have evolved.
• Intraoperative navigation and robotic guidance are increasingly used in spinal surgery.

Purpose of the Study:

• To present a technique guide for robotic-assisted instrumented SIJ fusion using intraoperative navigation.
• To detail the setup and intraoperative utilization of these technologies.
• To highlight the benefits of robotic guidance in SIJ fusion.

Main Methods:

• Description of a novel technique for robotic-assisted SIJ fusion with intraoperative navigation.
• Detailed explanation of system setup and intraoperative workflow.
• Presentation of case examples illustrating the technique's application.

Main Results:

• The technique allows for minimally invasive SIJ screw placement.
• High accuracy and safety in instrumentation placement were achieved.
• Reduced dissection, blood loss, and operative time were observed.

Conclusions:

• Robotic-assisted SIJ fusion with intraoperative navigation is an effective and reproducible technique.
• This approach enhances the safety and efficacy of SIJ fusion surgery.
• This represents a novel approach, as robotic SIJ fusion has not been previously described.