Telerobotic Spinal Surgery Based on 5G Network: The First 12 Cases

Overview

Journal Neurospine

Date 2020 Apr 7

PMID 32252160

Citations 48

Authors

Wei Tian

Mingxing Fan

Cheng Zeng

Yajun Liu

Da He

Qi Zhang

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study was to determine the efficacy and feasibility of 5th generation wireless systems (5G) telerobotic spinal surgery in our first 12 cases.

Methods: A total of 12 patients (5 males, 7 females; age, 23-71 years) with spinal disorders (4 thoracolumbar fractures, 6 lumbar spondylolisthesis, 2 lumbar stenosis) were treated with 5G telerobotic spinal surgery. Sixty-two pedicle screws were implanted.

Results: All patients had substantial relief from their symptoms. Screw placements were classified using Gertzbein-Robbins criteria. There were 59 grade A, 3 grade B. Mean operation time was 142.5 ± 46.7 minutes. Mean guiding wire insertion time was 41.3 ± 9.8 minutes. The deviation between the planned and actual positions was 0.76 ± 0.49 mm. No intraoperative adverse event was found.

Conclusion: 5G remote robot-assisted spinal surgery is accurate and reliable. We conclude that 5G telerobotic spinal surgery is both efficacious and feasible for the management of spinal diseases with safety.

Citing Articles

Ultra-remote robot-assisted right upper lobectomy between the Shanghai and Kashi Prefectures: a case report.

Tian Y, Lv H, Jumai A, Tuerhong T, Zhuang L, Huang J J Thorac Dis. 2025; 16(12):8823-8830.

PMID: 39831214 PMC: 11740061. DOI: 10.21037/jtd-24-1605.

Upcoming multi-visceral robotic surgery systems: a SAGES review.

Sarin A, Samreen S, Moffett J, Inga-Zapata E, Bianco F, Alkhamesi N Surg Endosc. 2024; 38(12):6987-7010.

PMID: 39542888 PMC: 11615118. DOI: 10.1007/s00464-024-11384-8.

Triple-console robotic telesurgery: first impressions and future impact.

Rogers T, Moschovas M, Saikali S, Reddy S, Gamal A, Li X J Robot Surg. 2024; 18(1):381.

PMID: 39460826 DOI: 10.1007/s11701-024-02141-z.

Knowledge mapping of telemedicine in urology in the past 20 years: A bibliometric analysis (2004-2024).

Zeng N, Liu M, Zhong X, Wang S, Xia Q Digit Health. 2024; 10:20552076241287460.

PMID: 39421308 PMC: 11483830. DOI: 10.1177/20552076241287460.

Evaluating the Status and Promising Potential of Robotic Spinal Surgery Systems.

Li X, Chen J, Wang B, Liu X, Jiang S, Li Z Orthop Surg. 2024; 16(11):2620-2632.

PMID: 39300748 PMC: 11541143. DOI: 10.1111/os.14244.

References

Tian W, Wang H, Liu Y . Robot-assisted Anterior Odontoid Screw Fixation: A Case Report. Orthop Surg. 2016; 8(3):400-4. PMC: 6584394. DOI: 10.1111/os.12266. View

Marescaux J, Leroy J, Gagner M, Rubino F, Mutter D, Vix M . Transatlantic robot-assisted telesurgery. Nature. 2001; 413(6854):379-80. DOI: 10.1038/35096636. View

Tian W, Fan M, Liu Y . Robot-assisted Percutaneous Pedicle Screw Placement Using Three-Dimensional Fluoroscopy: A Preliminary Clinical Study. Chin Med J (Engl). 2017; 130(13):1617-1618. PMC: 5494928. DOI: 10.4103/0366-6999.208251. View

Tian W, Han X, Liu B, Liu Y, Hu Y, Han X . A robot-assisted surgical system using a force-image control method for pedicle screw insertion. PLoS One. 2014; 9(1):e86346. PMC: 3899254. DOI: 10.1371/journal.pone.0086346. View

Zhang Q, Han X, Xu Y, Liu Y, Liu B, He D . Robot-Assisted Versus Fluoroscopy-Guided Pedicle Screw Placement in Transforaminal Lumbar Interbody Fusion for Lumbar Degenerative Disease. World Neurosurg. 2019; 125:e429-e434. DOI: 10.1016/j.wneu.2019.01.097. View

Tian W, Liu Y, Liu B, He D, Wu J, Han X . Guideline for Posterior Atlantoaxial Internal Fixation Assisted by Orthopaedic Surgical Robot. Orthop Surg. 2019; 11(2):160-166. PMC: 6594511. DOI: 10.1111/os.12454. View

Tian W . Robot-Assisted Posterior C1-2 Transarticular Screw Fixation for Atlantoaxial Instability: A Case Report. Spine (Phila Pa 1976). 2016; 41 Suppl 19:B2-B5. DOI: 10.1097/BRS.0000000000001674. View

Liu Y . Potential Risk of Intelligent Technologies in Clinical Orthopedics. Adv Exp Med Biol. 2018; 1093:281-288. DOI: 10.1007/978-981-13-1396-7_21. View

Chen A, Kazarian G, Jessop G, Makhdom A . Robotic Technology in Orthopaedic Surgery. J Bone Joint Surg Am. 2018; 100(22):1984-1992. DOI: 10.2106/JBJS.17.01397. View

10.

Fan Y, Du J, Liu J, Zhang J, Qiao H, Liu S . Accuracy of pedicle screw placement comparing robot-assisted technology and the free-hand with fluoroscopy-guided method in spine surgery: An updated meta-analysis. Medicine (Baltimore). 2018; 97(22):e10970. PMC: 6392558. DOI: 10.1097/MD.0000000000010970. View

11.

Han X, Tian W, Liu Y, Liu B, He D, Sun Y . Safety and accuracy of robot-assisted versus fluoroscopy-assisted pedicle screw insertion in thoracolumbar spinal surgery: a prospective randomized controlled trial. J Neurosurg Spine. 2019; 30(5):615-622. DOI: 10.3171/2018.10.SPINE18487. View

12.

Roser F, Tatagiba M, Maier G . Spinal robotics: current applications and future perspectives. Neurosurgery. 2012; 72 Suppl 1:12-8. DOI: 10.1227/NEU.0b013e318270d02c. View

13.

Joseph J, Smith B, Liu X, Park P . Current applications of robotics in spine surgery: a systematic review of the literature. Neurosurg Focus. 2017; 42(5):E2. DOI: 10.3171/2017.2.FOCUS16544. View

14.

Fehlings M, Ahuja C, Mroz T, Hsu W, Harrop J . Future Advances in Spine Surgery: The AOSpine North America Perspective. Neurosurgery. 2017; 80(3S):S1-S8. DOI: 10.1093/neuros/nyw112. View

15.

Li H, Zhang R, Shen C . Accuracy of Pedicle Screw Placement and Clinical Outcomes of Robot-assisted Technique Versus Conventional Freehand Technique in Spine Surgery From Nine Randomized Controlled Trials: A Meta-analysis. Spine (Phila Pa 1976). 2019; 45(2):E111-E119. DOI: 10.1097/BRS.0000000000003193. View

16.

Kim H, Lee S, Chang B, Lee C, Lim T, Hoo L . Monitoring the quality of robot-assisted pedicle screw fixation in the lumbar spine by using a cumulative summation test. Spine (Phila Pa 1976). 2015; 40(2):87-94. DOI: 10.1097/BRS.0000000000000680. View

17.

Hyun S, Kim K, Jahng T, Kim H . Minimally Invasive Robotic Versus Open Fluoroscopic-guided Spinal Instrumented Fusions: A Randomized Controlled Trial. Spine (Phila Pa 1976). 2016; 42(6):353-358. DOI: 10.1097/BRS.0000000000001778. View

18.

Kim H, Jung W, Chang B, Lee C, Kang K, Yeom J . A prospective, randomized, controlled trial of robot-assisted vs freehand pedicle screw fixation in spine surgery. Int J Med Robot. 2016; 13(3). DOI: 10.1002/rcs.1779. View

19.

Ghasem A, Sharma A, Greif D, Alam M, Maaieh M . The Arrival of Robotics in Spine Surgery: A Review of the Literature. Spine (Phila Pa 1976). 2018; 43(23):1670-1677. DOI: 10.1097/BRS.0000000000002695. View

20.

Ringel F, Stuer C, Reinke A, Preuss A, Behr M, Auer F . Accuracy of robot-assisted placement of lumbar and sacral pedicle screws: a prospective randomized comparison to conventional freehand screw implantation. Spine (Phila Pa 1976). 2012; 37(8):E496-501. DOI: 10.1097/BRS.0b013e31824b7767. View