Fluoroscopy time analysis of a prospective, multi‐centre study comparing robotic‐ and fluoroscopic‐guided placement of percutaneous pedicle screw instrumentation for short segment minimally invasive lumbar fusion surgery

Background As minimally invasive spine surgery becomes more widespread, concerns regarding radiation exposure to surgeons and patients alike have become a growing concern. Robotic guidance has been developed as a way to increase the accuracy of instrumentation while decreasing radiation burden. Meth...

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Published inThe international journal of medical robotics + computer assisted surgery Vol. 17; no. 2; pp. e2188 - n/a
Main Authors Jamshidi, Aria M., Massel, Dustin H., Liounakos, Jason I., Silman, Zmira, Good, Christopher R., Schroerlucke, Samuel R., Cannestra, Andrew, Hsu, Victor, Lim, Jae, Zahrawi, Faissal, Ramirez, Pedro M., Sweeney, Thomas M., Wang, Michael Y.
Format Journal Article
LanguageEnglish
Published England Wiley Subscription Services, Inc 01.04.2021
Subjects
Back surgery
Fluoroscopy
Instruments
lumbar fusion
Navigation systems
Pedicle screws
Radiation effects
robotic spine surgery
Robotic surgery
Surgeons
Surgical techniques
lumbar fusion
fluoroscopy
robotic spine surgery
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Summary:Background As minimally invasive spine surgery becomes more widespread, concerns regarding radiation exposure to surgeons and patients alike have become a growing concern. Robotic guidance has been developed as a way to increase the accuracy of instrumentation while decreasing radiation burden. Methods A retrospective analysis of a large, multi‐centre, prospective study comparing robotic‐guided (RG) to fluoroscopic‐guided (FG) (Multi‐centre, Partially Randomized, Controlled Trial of MIS Robotic vs. Freehand in Short Adult Degenerative Spinal Fusion Surgeries) was performed to evaluate for differences in radiation exposure between study groups. Results RG was associated with 78.3% (p < 0.001) and 79.8% (p < 0.001) reduction in total and per screw fluoroscopy times, respectively, as compared to FG. RG was also associated with a 50.8% (p < 0.001) reduction in total operative fluoroscopy time. Conclusions RG was associated with significantly lower fluoroscopy times compared to FG. This suggests that utilization of robotic navigation systems may result in decreased operative radiation exposure, which is a growing concern for surgeons performing minimally invasive spine surgery.
ISSN:1478-5951
1478-596X
DOI:10.1002/rcs.2188