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Robotically assisted spondylodesis for left-sided herniated disc L4-5 and spondylolysis L5-S1
Daniela Pierscianek1, Ahmed Alfarra1, Ralf Stroop1
1Department of Neurosurgery and Spine Surgery and.
Neurosurgical Focus: Video
|August 1, 2025
Summary
Robot-assisted spine surgery enhances accuracy and reduces complications. This case study details a successful robot-assisted spondylodesis for a patient with a herniated disc and spondylolysis, improving outcomes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Robotics in Medicine
Background:
- Robotic spine surgery is an emerging field with demonstrated benefits including improved surgical accuracy, reduced blood loss, and fewer reoperations.
- Traditional freehand procedures carry risks that robotic assistance aims to mitigate.
Purpose of the Study:
- To present a case of robot-assisted spondylodesis for a patient with a herniated disc and spondylolysis.
- To detail the workflow for performing robot-assisted spondylodesis.
Main Methods:
- Robot-assisted spondylodesis was performed on a 40-year-old female patient.
- Midline cortical screws were utilized for fusion at the L4-L5 and L5-S1 levels.
- The procedure addressed foot-drop paralysis and refractory pain.
Main Results:
- Successful robot-assisted spondylodesis was achieved.
- The workflow for this complex robotic procedure was successfully demonstrated.
Conclusions:
- Robot-assisted spondylodesis is a viable and effective technique for treating complex spinal conditions.
- This approach offers potential advantages in accuracy and patient outcomes for spinal fusion surgeries.

