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Related Experiment Video

Updated: Jan 13, 2026

A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
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Initial Experience, Lessons Learned, Tips and Tricks with Robot-Assisted Spine Surgery: Analysis of First 100 Cases.

Manish Garg1, Gnana S Kanamarlapudi2, Tungish Bansal2

  • 1Department of Ortho-Spine, FNB Spine Surgery, BLK-MAX Super Speciality Hospital, Rajinder Nagar, New Delhi, India.

Neurology India
|January 9, 2026
PubMed
Summary

Robot-assisted spine surgery using the Excelsius GPS system demonstrates high pedicle screw accuracy (98.10%). This advanced technology offers improved precision and efficiency for better patient outcomes in spinal fusion procedures.

Keywords:
Facet joint violationinitial experiencepedicle screw accuracyrobotic spine surgery

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Medical Robotics

Background:

  • Robot-assisted spine surgery is advancing, promising enhanced precision and efficiency.
  • The Excelsius GPS spine surgical robot represents a significant technological development in the field.

Purpose of the Study:

  • To share early experiences with the Excelsius GPS spine surgical robot.
  • To evaluate the accuracy and safety of robotic-assisted transforaminal interbody fusion.

Main Methods:

  • Analysis of 100 patients undergoing robotic-assisted transforaminal interbody fusion.
  • Evaluation of pedicle screw accuracy using Gretzbein Robbins classification.
  • Assessment of cranial facet joint violation using Yson classification.

Main Results:

  • A total of 424 pedicle screws were placed robotically.
  • Robotic assistance achieved 98.10% pedicle screw accuracy.
  • Grade 1 facet joint violation occurred in 16.5% of cases, with 0% for Grade 2.

Conclusions:

  • The Excelsius GPS system demonstrates high accuracy in robotic-assisted spine surgery.
  • Sharing experiences and techniques can encourage wider adoption of robotic technology.
  • This technology holds potential for improving patient care in spinal fusion.