Research and application progress of surgical robot in spine surgery / 中华骨科杂志

ABSTRACT

Open and percutaneous pedicle screw insertion would have the risk of damaging the nerve or blood vessels,due to the complexity of the spine structure.Despite the aid of various means of preoperative CT and intraoperative navigation,pedicle screw insertion failure rate is still 4.1％-28.9％.In recent years,the development of spine surgical robots might bring new solutions to this problem.The use of the spine surgical robots has been more than 20 years,and developed rapidly with the development of intraoperative navigation and intraoperative CT in recent years.Some robots have been certified by the FDA or the CE.And the number of reported robot-assisted surgeries such as scoliosis surgeries or severe lumbar spondylolisthesis surgeries has increased rapidly as well.Current literatures have verified the robot-assisted pedicle screw insertion has high accuracy,good stability and short learning curve,which may be able to become one of the main trend of spinal surgery in the future.This article mend to review some developed spine surgery robot and their clinical application indication and results.