Cement-augmented pedicle screw insertion assisted by spinal robotic systems for widespread spinal metastases

Research output: Contribution to journalArticle

Abstract

Widespread spinal metastases can obscure bone landmarks and severely hinder surgical safety during pedicle screw insertion. Robot-assisted spinal surgery has demonstrated an excellent safety profile for pedicle screw insertion. Moreover, spinal surgery robotic systems can facilitate pedicle screw insertion with high-accuracy. We present a patient who had breast cancer with widespread spinal metastases, pathological vertebral fracture, and spinal cord compression with a challenge of intraoperative image recognition. To overcome this problem, she received surgical decompression and stabilization through the insertion of cement-augmented pedicle screws with the assistance of a spinal robotic system. At the 1-year follow-up, no implant loosening was observed, and the patient exhibited notable physical improvements, demonstrating that cement-augmented pedicle screw insertion with the assistance of spinal robotic systems is an effective method for treating widespread spinal metastases.

Original languageEnglish
JournalJournal of Robotic Surgery
DOIs
Publication statusAccepted/In press - Jan 1 2018

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Robotics
Neoplasm Metastasis
Safety
Surgical Decompression
Spontaneous Fractures
Spinal Cord Compression
Pedicle Screws
Breast Neoplasms
Bone and Bones

Keywords

  • Cement augmentation
  • Navigation
  • Pedicle screw
  • Robotic
  • Spine metastases

ASJC Scopus subject areas

  • Surgery
  • Health Informatics

Cite this

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abstract = "Widespread spinal metastases can obscure bone landmarks and severely hinder surgical safety during pedicle screw insertion. Robot-assisted spinal surgery has demonstrated an excellent safety profile for pedicle screw insertion. Moreover, spinal surgery robotic systems can facilitate pedicle screw insertion with high-accuracy. We present a patient who had breast cancer with widespread spinal metastases, pathological vertebral fracture, and spinal cord compression with a challenge of intraoperative image recognition. To overcome this problem, she received surgical decompression and stabilization through the insertion of cement-augmented pedicle screws with the assistance of a spinal robotic system. At the 1-year follow-up, no implant loosening was observed, and the patient exhibited notable physical improvements, demonstrating that cement-augmented pedicle screw insertion with the assistance of spinal robotic systems is an effective method for treating widespread spinal metastases.",
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