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Minimally invasive, robot-assisted, anterior lumbar interbody fusion: a technical note.

Publication ,  Journal Article
Lee, JYK; Bhowmick, DA; Eun, DD; Welch, WC
Published in: J Neurol Surg A Cent Eur Neurosurg
July 2013

BACKGROUND: Minimally invasive techniques in spine surgery have gained significant popularity due to decreased tissue dissection and destruction, postoperative pain, and hospital stay. The laparoscopic anterior lumbar interbody fusion (ALIF), an innovation in minimally invasive spine surgery, is rarely done because it has marginal benefit over the mini-open ALIF technique in rates of retrograde ejaculation and vascular complications. We propose these outcomes can be improved with enhanced robotic-assisted dissection and exposure for ALIF. PATIENTS: Two patients with single-level degenerative spine disease at L5-S1, associated with mechanical back pain, underwent anterior spinal exposure using the da Vinci S Surgical Robot during ALIF. RESULTS: In this report, we provide the first description of the use of a surgical robot in the dissection and exposure for ALIF in patients with degenerative spine disease. We demonstrate successful use of the da Vinci Surgical Robot in separating the presacral nervous plexus from retroperitoneal structures without postoperative vascular or urological complications over a 1-year follow-up period. CONCLUSION: Use of the robotic assistance in the performance of ALIF is possible without significant operative complications. This technique may provide added benefit over conventional laparoscopic approaches to the spine.

Duke Scholars

Published In

J Neurol Surg A Cent Eur Neurosurg

DOI

EISSN

2193-6323

Publication Date

July 2013

Volume

74

Issue

4

Start / End Page

258 / 261

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Spinal Fusion
  • Robotics
  • Postoperative Care
  • Patient Positioning
  • Neurosurgical Procedures
  • Neurologic Examination
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Magnetic Resonance Imaging
 

Citation

APA
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ICMJE
MLA
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Lee, J. Y. K., Bhowmick, D. A., Eun, D. D., & Welch, W. C. (2013). Minimally invasive, robot-assisted, anterior lumbar interbody fusion: a technical note. J Neurol Surg A Cent Eur Neurosurg, 74(4), 258–261. https://doi.org/10.1055/s-0032-1330121
Lee, John Y. K., Deb A. Bhowmick, Daniel D. Eun, and William C. Welch. “Minimally invasive, robot-assisted, anterior lumbar interbody fusion: a technical note.J Neurol Surg A Cent Eur Neurosurg 74, no. 4 (July 2013): 258–61. https://doi.org/10.1055/s-0032-1330121.
Lee JYK, Bhowmick DA, Eun DD, Welch WC. Minimally invasive, robot-assisted, anterior lumbar interbody fusion: a technical note. J Neurol Surg A Cent Eur Neurosurg. 2013 Jul;74(4):258–61.
Lee, John Y. K., et al. “Minimally invasive, robot-assisted, anterior lumbar interbody fusion: a technical note.J Neurol Surg A Cent Eur Neurosurg, vol. 74, no. 4, July 2013, pp. 258–61. Pubmed, doi:10.1055/s-0032-1330121.
Lee JYK, Bhowmick DA, Eun DD, Welch WC. Minimally invasive, robot-assisted, anterior lumbar interbody fusion: a technical note. J Neurol Surg A Cent Eur Neurosurg. 2013 Jul;74(4):258–261.
Journal cover image

Published In

J Neurol Surg A Cent Eur Neurosurg

DOI

EISSN

2193-6323

Publication Date

July 2013

Volume

74

Issue

4

Start / End Page

258 / 261

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Spinal Fusion
  • Robotics
  • Postoperative Care
  • Patient Positioning
  • Neurosurgical Procedures
  • Neurologic Examination
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Magnetic Resonance Imaging