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Sacroiliac Joint Fusion Using Robotic Navigation: Technical Note and Case Series.

Publication ,  Conference
Wang, TY; Bergin, SM; Murphy, KR; Abd-El-Barr, MM; Grossi, P; Shaffrey, CI; Crutcher, C; Than, KD
Published in: Oper Neurosurg (Hagerstown)
July 1, 2022

BACKGROUND: Patients undergoing sacroiliac (SI) fusion can oftentimes experience significant improvements in pain and quality of life. OBJECTIVE: To describe a novel application of robotic navigation to assist with minimally invasive SI joint fusion. METHODS: Patients undergoing stand-alone SI joint fusion with ExcelsiusGPS robotic navigation from July 2020 through June 2021 were retrospectively enrolled. Baseline demographic and perioperative variables including radiation exposure, postoperative pain scores, and narcotic requirements in the postanesthesia care unit (PACU) were recorded. Length of stay and any postoperative complications were also noted. RESULTS: A total of 10 patients (64.4 ± 8.2 years, body mass index 28.7 ± 4.8 kg/m2) met inclusion criteria. Seven patients (70.0%) were female, and there was a 6:4 split between left-sided and right-sided SI joint fusion. The total operative time was 54 ± 9 minutes, and the estimated blood loss was 21.0 ± 16.7 mL. The intraoperative radiation exposure was 13.7 ± 6.2 mGy, and there were no complications. The average pain score in PACU was 5.2 ± 1.0, and the average opioid administration in PACU was 27.6 ± 10.3 morphine equivalents. Length of stay was 0.4 ± 0.7 days, with 7 of 10 patients discharged on the same day as surgery. There were no readmissions. The average length of follow-up was 4.3 ± 2.5 months. At the last follow-up, patients reported an average of 73.1% ± 30.1% improvement in their preoperative pain. CONCLUSION: Robot-navigated SI joint fusion is a feasible and reproducible method for addressing refractory SI joint disease. Further investigation on clinical outcomes and long-term fusion rates is needed, as are studies comparing robot-navigated SI joint fusion with more traditional techniques.

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Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

July 1, 2022

Volume

23

Issue

1

Start / End Page

1 / 7

Location

United States

Related Subject Headings

  • Spinal Fusion
  • Spinal Diseases
  • Sacroiliac Joint
  • Robotics
  • Robotic Surgical Procedures
  • Retrospective Studies
  • Quality of Life
  • Pain
  • Minimally Invasive Surgical Procedures
  • Male
 

Citation

APA
Chicago
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Wang, T. Y., Bergin, S. M., Murphy, K. R., Abd-El-Barr, M. M., Grossi, P., Shaffrey, C. I., … Than, K. D. (2022). Sacroiliac Joint Fusion Using Robotic Navigation: Technical Note and Case Series. In Oper Neurosurg (Hagerstown) (Vol. 23, pp. 1–7). United States. https://doi.org/10.1227/ons.0000000000000179
Wang, Timothy Y., Stephen M. Bergin, Kelly R. Murphy, Muhammad M. Abd-El-Barr, Peter Grossi, Christopher I. Shaffrey, Clifford Crutcher, and Khoi D. Than. “Sacroiliac Joint Fusion Using Robotic Navigation: Technical Note and Case Series.” In Oper Neurosurg (Hagerstown), 23:1–7, 2022. https://doi.org/10.1227/ons.0000000000000179.
Wang TY, Bergin SM, Murphy KR, Abd-El-Barr MM, Grossi P, Shaffrey CI, et al. Sacroiliac Joint Fusion Using Robotic Navigation: Technical Note and Case Series. In: Oper Neurosurg (Hagerstown). 2022. p. 1–7.
Wang, Timothy Y., et al. “Sacroiliac Joint Fusion Using Robotic Navigation: Technical Note and Case Series.Oper Neurosurg (Hagerstown), vol. 23, no. 1, 2022, pp. 1–7. Pubmed, doi:10.1227/ons.0000000000000179.
Wang TY, Bergin SM, Murphy KR, Abd-El-Barr MM, Grossi P, Shaffrey CI, Crutcher C, Than KD. Sacroiliac Joint Fusion Using Robotic Navigation: Technical Note and Case Series. Oper Neurosurg (Hagerstown). 2022. p. 1–7.
Journal cover image

Published In

Oper Neurosurg (Hagerstown)

DOI

EISSN

2332-4260

Publication Date

July 1, 2022

Volume

23

Issue

1

Start / End Page

1 / 7

Location

United States

Related Subject Headings

  • Spinal Fusion
  • Spinal Diseases
  • Sacroiliac Joint
  • Robotics
  • Robotic Surgical Procedures
  • Retrospective Studies
  • Quality of Life
  • Pain
  • Minimally Invasive Surgical Procedures
  • Male