Cement-augmented pedicle screw insertion assisted by spinal robotic systems for widespread spinal metastases
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Widespread spinal metastases can obscure bone landmarks and severely hinder surgical safety during pedicle screw insertion. Robot-assisted spinal surgery has demonstrated an excellent safety profile for pedicle screw insertion. Moreover, spinal surgery robotic systems can facilitate pedicle screw insertion with high-accuracy. We present a patient who had breast cancer with widespread spinal metastases, pathological vertebral fracture, and spinal cord compression with a challenge of intraoperative image recognition. To overcome this problem, she received surgical decompression and stabilization through the insertion of cement-augmented pedicle screws with the assistance of a spinal robotic system. At the 1-year follow-up, no implant loosening was observed, and the patient exhibited notable physical improvements, demonstrating that cement-augmented pedicle screw insertion with the assistance of spinal robotic systems is an effective method for treating widespread spinal metastases.
KeywordsSpine metastases Robotic Navigation Cement augmentation Pedicle screw
This study had no funding.
Compliance with ethical standards
Conflict of interest
Christopher Wu, Ching-Yu Lee, Tsung-Jen Huang and Meng-Huang Wu declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.
Informed consent was obtained from all patients for being included in the study. Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
- 8.Wu MH, Dubey NK, Li YY, Lee CY, Cheng CC, Shi CS, Huang TJ (2017) Comparison of minimally invasive spine surgery using intraoperative computed tomography integrated navigation, fluoroscopy, and conventional open surgery for lumbar spondylolisthesis: a prospective registry-based cohort study. Spine J 17(8):1082–1090. https://doi.org/10.1016/j.spinee.2017.04.002 CrossRefGoogle Scholar
- 13.Devito DP, Kaplan L, Dietl R, Pfeiffer M, Horne D, Silberstein B, Hardenbrook M, Kiriyanthan G, Barzilay Y, Bruskin A, Sackerer D, Alexandrovsky V, Stuer C, Burger R, Maeurer J, Donald GD, Schoenmayr R, Friedlander A, Knoller N, Schmieder K, Pechlivanis I, Kim IS, Meyer B, Shoham M (2010) Clinical acceptance and accuracy assessment of spinal implants guided with SpineAssist surgical robot: retrospective study. Spine (Phila Pa 1976) 35(24):2109–2115. https://doi.org/10.1097/BRS.0b013e3181d323ab CrossRefGoogle Scholar