Navigation and Robotics in Spine Surgery

A unique how-to guide for spine surgeons on state-of-the-art computer-assisted navigation and robotic surgery techniques The past decade has seen major advances in image-guided spine surgery techniques, with robotically assisted approaches emerging in the last five years. While early adopters of this technology paved the way for more widespread use of navigated and robotic systems, barriers still exist. Navigation and Robotics in Spine Surgery by master spine surgeon Alexander Vaccaro and esteemed co-editors Jaykar Panchmatia, I. David Kaye, and Srinivas Prasad addresses existing issues such as the perception of increased upfront costs, intrusion on current workflow, and a lack of understanding about the potential ways these technologies can enhance the surgical experience and improve patient outcomes. Organized into six sections, the book starts with evidence-based fundamentals of navigated spine surgery and robotics including discussion of instrumentation and mechanics. Sections 2-5 serve as a surgical handbook for spine surgeons who wish to introduce these technologies into practice or augment their current repertoire with more complex techniques. Topics range from more routine procedures such as navigated and robotic minimally invasive TLIF to complex approaches like intraoperative ultrasound guided intradural spinal tumor resection. The final section looks at future directions and potential new applications for these technologies. Key Highlights An impressive group of international spine surgeons who pioneered navigation and robotic surgery techniques share invaluable tricks of the trade Discussion of fluoroscopy- and intraoperative CT-based platforms, applications for intraoperative sonography, and radiation exposure and minimization strategies Special topics include OR set-up and workflow, surmounting the learning curve, artificial intelligence, and lessons learned from other industries Procedural videos demonstrate the benefits of computer-assisted navigation and robotic techniques This book is essential reading for orthopaedic surgery and neurosurgery residents and spine fellows who wish to learn about and incorporate these technologies into practice. Seasoned spine surgeons seeking to expand the scope of their navigated/robotic practice will benefit from chapters detailing advanced approaches. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Table of Contents:
Part I Introduction to Navigation and Robotics 1 Principles of Navigated Pedicle Screw Placement 2 Three-Dimensional Computer Assisted Navigation Platforms 3 Intraoperative Ultrasound in Spine Surgery: A Versatile and Useful Adjunct 4 Magnetic Resonance Imaging–Based Navigation 5 Shared Control Robotics 6 Telesurgical Robots 7 Surpervisory-Controlled Robotics 8 Radiation Exposure and Navigated Spinal Surgery Part II Techniques for Navigation-Assisted Spine Surgery 9 Outcomes in Navigated Spinal Surgery 10 Navigated Subaxial Cervical Spine Pedicle Screw Instrumentation 11 Navigated Anterior Transoral Surgery for C1 and C2 Pathologies 12 Navigated Posterior Correction of Pediatric Scoliosis 13 Navigated Posterior Instrumentation of the Arthrodesed Spine 14 Navigated Minimally Invasive Transforaminal Lumbar Interbody Fusion 15 Robotic Instrumentation for Lumbosacral Spondylolisthesis 16 The Role of Navigation in the Resection of Primary Spinal Tumor 17 Surgical Management of Thoracolumbar Spinal Metastases Using Navigation 18 Navigated Pelvic Fixation 19 Navigated Sacroiliac Joint Fusion 20 Navigation Balloon Kyphoplasty Part III Techniques for Robotic-Assisted Spine Surgery 21 Outcomes in Robotic Spinal Surgery 22 Robotic Subaxial Cervical Spine Pedicle Screw Instrumentation 23 Navigated and Robotic Anterior Odontoid Peg Fracture Fixation 24 Navigated and Robotic Posterior Atlantoaxial Fusion 25 Robotic Posterior Thoracic Pedicle Screw Placement 26 Robotic Minimally Invasive Transforaminal Lumbar Interbody Fusion 27 Robotic Anterior Lumbar Interbody Fusion Part IV Techniques Using Alternative Modalities for Complex Spine Pathology 28 Intraoperative Ultrasound-Guided Intradural Tumor Resection 29 Stereotactic Radiosurgery for Treatment of Primary and Metastatic Spinal Tumors Part V Easing the Transition to Technological Adoption 30 Operating Room Design and Efficiency 31 Mounting the Learning Curve with New Technologies Part VI Future Directions 32 Artificial Intelligence 33 What We Can Learn from Other Industries 34 Future Growth in Navigated and Robotic Spinal Surgery