Robotic-Assisted Decompression, Decortication, and Instrumentation for Minimally Invasive Transforaminal Lumbar...

Area of Science:

• Spine Surgery
• Robotics
• Minimally Invasive Procedures

Background:

• Robotic-assisted spine surgery improves pedicle screw accuracy, reduces blood loss, and shortens hospital stays.
• Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) is a key area for robotic innovation.
• Previous robotic applications were limited to screw placement, excluding bone decompression and decortication.

Purpose of the Study:

• To provide a comprehensive guide for robotic-assisted MI-TLIF, including facet decortication and decompression.
• To highlight the advancement of robotic technology for both bone decompression and implant guidance.
• To demonstrate how software planning enhances precision and reduces invasiveness in MI-TLIF.

Main Methods:

• Utilized the Mazor X Stealth Edition Spine Robotic System for preoperative planning and intraoperative guidance.
• Employed a surgical arm with 6 degrees of freedom connected to the patient's anatomy.
• Integrated software for screw trajectory planning, facet decortication, and bone removal via a drill.

Main Results:

• Robotic-assisted bone laminectomy demonstrated precision in cadaveric studies.
• The system enables precise execution of preplanned facet joint decortication and osseous decompression.
• Guidance is provided for screw insertion and robotic bone resection.

Conclusions:

• Robotic-assisted facet decortication and decompression represent a significant advancement in spine surgery.
• This technology enhances precision, reduces morbidity, and shifts bone removal to mechanized techniques.
• Anticipated outcomes include reduced pain, improved function, and successful spinal fusion.