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Updated: Sep 3, 2026

A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
[Computer-assisted spine surgery : Current status and future perspectives]
Lukas Schönnagel1, Thilo Khakzad2, Matthias Pumberger2
1Centrum für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland. Lukas.Schoennagel@charite.de.
Abstract:
Computer-assisted spine surgery has evolved from fluoroscopy-based techniques to advanced navigation and robotic systems. These technologies aim to improve intraoperative precision, enhance instrument guidance, and increase reproducibility of surgical workflows. Modern platforms integrate preoperative planning, intraoperative imaging, and real-time tracking to support surgical decision-making. As adoption increases, their role in clinical practice continues to be critically evaluated. This review provides an overview of the development and current state of computer-assisted and robotic spine surgery, outlining key technological principles and clinical applications. In addition, it addresses current challenges, including workflow integration, resource requirements, and limitations of existing systems. Finally, emerging developments such as automation, improved imaging integration, and data-driven approaches are discussed to contextualize the potential future impact of these technologies on spine care.
