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Robotic navigation system utilization for percutaneous sacroiliac screw placement: surgical setup and technique.
Piche, Joshua David; Muscatelli, Stefano R; Waheed, Muhammad Abdul-Aziz; Patel, Rakesh D; Aleem, Ilyas S.
Afiliación
  • Piche JD; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
  • Muscatelli SR; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
  • Waheed MA; Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
  • Patel RD; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
  • Aleem IS; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
J Spine Surg ; 7(2): 197-203, 2021 Jun.
Article en En | MEDLINE | ID: mdl-34296032
Sacroiliac joint (SIJ) pathology is a common cause of significant pain and disability, and operative treatment consisting of SIJ fusion can be performed in cases where non-operative measures fail to provide sustained relief. Through the years, SIJ fusion has evolved from an open invasive procedure, to more recently, being performed through minimally invasive techniques. Intraoperative navigation systems and robotic guidance are becoming popularized for SIJ fusion, as well as other routine and complex spinal cases. The utility of navigation and robotics is the enhanced ability of the surgeon to place instrumentation more accurately, with less dissection, blood less, and overall operative time. We present a technique guide for robotic instrumented SIJ fusion with intraoperative navigation that we have put into practice at our institution and found to be very beneficial to patients for the above reasons. We describe the setup and utilization of these technologies intraoperatively, and provide specific case examples to highlight our technique. The described methods have been found to be effective and reproducible, allowing for minimally invasive SIJ screw placement with high accuracy and safety. We emphasize that utilizing intraoperative navigation and robotics is not meant to substitute for surgeon knowledge of case steps or anatomy, but rather to enhance safety and efficacy. To our knowledge, robotic SIJ fusion has not been previously described in the literature.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: J Spine Surg Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: China

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: J Spine Surg Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: China