Spinale Robotik vs. Cone-Beam-Navigation
摘要
Cone-beam-based navigation as well as robot-assistance are being increasingly employed in spine surgeries to avoid implant misplacement.
ObjectivesComparison of technique, precision, radiation dosage, resource needs, and spectrum of application of both methods.
Materials und methodsBesides In addition to a literature search, learning curves of surgical time and radiation dosages were compared between the first 50 robotic cases and 100 cases each with cone-beam navigation or fluoroscopic assistance.
ResultsWhile robot assistance comes with highest precision and speed, cone-beam-navigation holds the largest spectrum of application. When implementing the robot, the current learning curve is flatter and longer.
ConclusionsBoth technical assistance systems provide a reduced complication rate via increased precision and safety. Acceptance of the high acquisition costs can lead to a reduction in radiation dosage and surgical procedure times.