Day Case Lumbar Fusion Surgery
The article discusses the first reported case of a totally robotic minimally invasive anterior and posterior lumbar fusion and instrumentation. The study examines the use of robotic approaches for both anterior lumbar interbody fusion (ALIF) and posterior pedicle screws placement in a single surgery. A 65-year-old male with chronic low back pain underwent ALIF using the da Vinci robotic approach, followed by percutaneous posterior instrumented fusion with the Globus Excelsius GPS robot. The patient experienced improvement in back and leg pain at the 3-month follow-up, and X-rays confirmed the appropriate placement of interbody cage and pedicle screws. The study suggests that all-robotic placement of both ALIF and posterior lumbar pedicle fixation may be safe, feasible, and efficacious
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated day surgery unit in the world
Published article
: All-robotic placement of both ALIF and posterior lumbar pedicle fixation may be safe, feasible, and efficacious.
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2023 Sep 12:S1878-8750(23)01296-2. doi: 10.1016/j.wneu.2023.09.028. Online ahead of print.ABSTRACTBACKGROUND: Minimally invasive approaches to the spine via anterior and posterior approaches have been increasing in popularity, culminating in the development of robot-assisted spinal fusions. The da Vinci surgical robot has been utilized for anterior lumbar interbody fusion (ALIF) with promising results. Similarly, multiple spinal,
World Neurosurg. 2023 Sep 12:S1878-8750(23)01296-2. doi: 10.1016/j.wneu.2023.09.028. Online ahead of print.
ABSTRACT
BACKGROUND: Minimally invasive approaches to the spine via anterior and posterior approaches have been increasing in popularity, culminating in the development of robot-assisted spinal fusions. The da Vinci surgical robot has been utilized for anterior lumbar interbody fusion (ALIF) with promising results. Similarly, multiple spinal robots have been developed to assist placement of posterior pedicle screws. However, no prior cases have reported on using robots for both anterior and posterior fixation in a single surgery. Here we present a technical note on the first reported case of a totally robotic minimally invasive anterior and posterior lumbar fusion and instrumentation.
METHODS: A 65-year-old male with chronic low back pain and left greater than right lower extremity radiculopathy was found to have grade 1 spondylolisthesis at L5/S1 that worsened on standing upright. He underwent ALIF using da Vinci robotic approach, followed by percutaneous posterior instrumented fusion with the Globus Excelsius GPS robot.
RESULTS: The patient did well postoperatively with improvement of back and leg pain at 3-month follow-up. Xrays confirmed appropriate placement of interbody cage and pedicle screws.
: All-robotic placement of both ALIF and posterior lumbar pedicle fixation may be safe, feasible, and efficacious.
PMID:37708971 | DOI:10.1016/j.wneu.2023.09.028
The London Spine Unit : the highest rated day surgery unit in the world
Read the original publication:
Da Vinci meets Globus Excelsius GPS: A Totally Robotic Minimally Invasive Anterior and Posterior Lumbar Fusion
