Neurosurgery and Neuroscience

Robotics has grown to be commonplace in a range of surgical fields. In spine surgery, however, it remains relatively novel. There is a burgeoning body of evidence to suggest that spinal robotics may improve surgical ergonomics, eliminate human errors, minimize radiation exposure, and improve patient outcomes. Its application in spinal surgery is thus particularly appealing. However, the technology’s potential benefits must be weighed against concerns regarding cost and workflow. As with any evolving technology, careful clinical evaluation of its application and limitations must be well-considered and defined. The purpose of this piece was to evaluate the outcomes and lessons learned through the use of robot-assisted screw placement using the Mazor Robotics technology in a series of 70 patients at one centre in Melbourne, Australia. We evaluated pre-operative screw planning and compared this to post op CT scans. We also assessed x-ray exposure times and length of hospital stay. In our series we found that we had a 98.9% rate of accuracy and both a reduced radiation exposure time and reduced hospital stay, when compared with open free-hand surgery. In conclusion, we found robotic surgery to be safer for both the patient and theatre staff .