Guideline for Posterior Atlantoaxial Internal Fixation Assisted by Orthopaedic Surgical Robot.

Abstract:

:Atlantoaxial transarticular facet screw fixation (Magerl technique) and C1 lateral mass screws combined with C2 pedicle screws fixation (Harms technique) are the most commonly used techniques for posterior internal fixation in the upper cervical spine. Upper cervical spinal surgery is a technically demanding and challenging procedure because of complicated anatomical structures and frequent occurrence of anomalies. Accurate insertion of screws allows for stable and secure internal fixation, which is necessary for both techniques. Traditional methods under fluoroscopic assistance in this region cannot meet the requirements of high levels of accuracy and security during the procedure. Robot-assisted spinal surgery can provide accurate and reliable guidance during the screw insertion, which is evidenced in the literature. As a recently developed technique, robot-assisted surgery is supposed to be performed by skilled surgeons who have received standard training for robotic surgery. The standardized upper cervical spinal surgery assisted by the robot system needs to be introduced to these surgeons. Based on the consensus of consultant specialists, the literature review, and our local experience, this guideline included the introduction of the robotic system, the workflow of robot-assisted procedures, and the precautions to take during procedures. This guideline aims to provide a standardization of the robotic surgery for posterior atlantoaxial internal fixation.

journal_name

Orthop Surg

journal_title

Orthopaedic surgery

authors

Tian W,Liu YJ,Liu B,He D,Wu JY,Han XG,Zhao JW,Fan MX,Technical Committee on Medical Robot Engineering of Chinese Society of Biomedical Engineering.,Technical Consulting Committee of National Robotic Orthopaedic Surgery Application Cent

doi

10.1111/os.12454

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

160-166

issue

2

eissn

1757-7853

issn

1757-7861

journal_volume

11

pub_type

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