Navigation and Robotics in Lumbar Spine Surgery
摘要
In recent decades, lumbar spine surgery has co-evolved significantly with the advent of navigation and robotic-assisted surgical techniques. Utilization of novel technology and techniques in both complex and minimally invasive lumbar spine surgery has allowed for improved outcomes. These technological and technical advancements have improved precision, reduced complication rates, and improved patient-reported outcomes for patients of all backgrounds. The rise of minimally invasive techniques in spine surgery revolutionized the management of complex spinal disorders, including those requiring decompression, realignment, and fusion. Robotics has also played an increasingly prominent role in spine surgery. While robotic assistance did not demonstrate significantly improved clinical outcomes compared to navigation alone, it did offer advantages in reducing radiation exposure, improving screw placement accuracy, and allowing for the use of larger pedicle screws. Furthermore, robotic-assisted surgeries were associated with reduced physical strain for surgeons, enhancing ergonomics in the operating room. Herein, the authors present a brief review of navigation technologies in the lumbar spine and illustrative cases to highlight their clinical utility.