Technology

Robotically Operated Spine Navigation

It has been nearly a decade since the first robotic spine surgery was performed. Patients and surgeons see better outcomes with each new generation of robotic guidance. Before surgery, your spine surgeon will take specific X-rays of your spine. Your bone scans will create a 3D model of your spine that surgeons can use to plan where they want to insert instruments during your procedure. In surgery, the robot has an "arm" with many joints that provide the surgeon with the precise trajectory to insert screws into the bone. In addition, the surgeon can view in real-time where the screw is located within the bone, thanks to the robotic system.

Minimally invasive fusion surgery is now possible because of robotic guidance. To insert screws in the spine, tiny incisions are made in the skin with minimal exposure during minimally invasive surgery. The surgeon does not need to expose any hidden structures beneath the skin for viewing purposes. As a result, patients recover more quickly, spend less time in the hospital, and lose less blood after surgery.

Robots help guide screws into the patient's back during posterior instrumented fusions. Low back, mid-back and neck surgeries could all benefit from this procedure. Scoliosis and kyphosis surgery can also be performed using robot guidance.

Surgeons have to completely expose the spinal anatomy to see the spinal components better to assist spinal instrumentation insertion in traditional spine surgery approaches. As a result, the wound was more significant, and the blood loss was more remarkable. There are no visual requirements for surgeons to put the screws in minimally invasive fusion surgery. Instead, a small incision is used to direct the surgeon to the precise location using the robotic system. There are several large-scale spinal deformity operations for which we must still use the standard exposure.

O-Arm enabled 3D spine surgery

Screws or other implants may be inserted into the spine during your spine surgery. Typically, these are inserted by hand or with the use of X-rays. The spinal cord, spinal nerves, or other structures may be at risk if implants are positioned incorrectly, despite the surgeon's best efforts.

The O-arm Imaging Surgical System is a surgical imaging platform for spine, cranial, orthopedic, ENT, and trauma surgeries. Intraoperative imaging of a patient's anatomy is provided with high-quality images and a wide field of view in two and three dimensions.

The O-arm system's design must provide patient safety, sterility, and convenience of use in the operating room. It has been created with surgical efficiency in mind. For optimal patient positioning and versatility in the choice of tables, the gantry's revolutionary breakable gantry is critical. Allows patients to be adequately prepared before their procedure and produce a sterile environment once it is closed around their bodies. The O-arm can be moved simply from one operating room to another, enabling simultaneous imaging and imaging-on-demand at any point in surgery.

The O-arm System keeps track of your preferred viewing positions using robotics. The gantry and detector positions can be saved in programmable memory and any X-ray technique in up to four different imaging positions. Surgeons no longer have to spend time adjusting instruments and exposing themselves to additional radiation for scouting, as the user can recall the exact image location at any time.

An O-arm may remain in the surgical field even if the gantry is not being used for imaging, allowing surgeons to have patient access while ensuring sterility.

The O-arm is an essential instrument for ensuring the greatest possible patient outcomes. In both 2D and 3D picture sets, the O-arm System has elevated intraoperative imaging to a new level by providing surgeons with the information they need most when they need it.

Minimal Access (keyhole) Spinal Technology

Because of advances in minimally invasive techniques, spine surgeons can now do a classic "open" posterior spinal fusion without causing as much harm to the spine's ligaments, fascia, and muscles. This new wave of minimally invasive surgery has transformed surgical fields. The primary goal of a lumbar discectomy is to relieve pressure on the nerve root that is being operated on. There must be no restriction on the movement of the compressed nerve. If the herniated nucleus pulposus is removed, considerable bone decompression may be necessary.

Only a Small Amount of Access In the last two decades, improvements in limited orthopedic access surgery have led to the development of Spinal Technologies. Many surgical subspecialties use endoscopes, catheters, and other specialized equipment to help accomplish surgery through much smaller incisions. These procedures have become the norm in orthopedics, cardiology, and gastrointestinal medicine. "Arthroscopic" surgery, which allows orthopedic surgeons to examine inside joints like the knee and operate through tiny incisions, is the most common form of this technology. Additionally, many people have gotten familiar with this technology through cardiac catheterization and endoscopy to treat coronary artery disease.

Intra Operative Neuro Monitoring (IONM)

During surgery, continuous monitoring of a patient's neurological system (brain, spinal cord, and nerves) is known as intraoperative neuromonitoring (IONM). IONM's primary goal is to protect the nervous system from damage.

Tests for measuring nervous system function can vary depending on the method. By sending electrical impulses to the neurological system and monitoring their effects, IONM is typically employed. According to the procedure, electrodes are linked to specific muscle groups or the wrists, ankles, and scalp.

Under the guidance of an IONM physician, a surgical neurophysiologist is on-site to watch the results of the tests. The IONM team gives instant feedback to the surgeon, anesthesiologist, and nurses who can respond quickly to decrease the risk of long-term post-operative harm when significant neurophysiological change is observed.

IONM provides an additional layer of protection for both the surgeon and the patient.

The patient's health insurance may cover a portion of the IONM expenses. A lot depends on the insurance company and plan you have. A patient's insurance company can tell them if IONM is covered. Consider the benefits of IONM services over the potential dangers and costs of major neurological problems when making treatment decisions for your patients and your Neuro surgeons.

State of the Art Digital Spine OT

Together, these breakthroughs and technology can work synergistically. There are just a few such operating rooms in the country, and Neurosurgery OT is one of them. This means that spine surgeries may be performed more accurately and safely because of their simultaneous availability in one OT.

As a result of these cutting-edge procedures, spine surgeries it will become even more precise. Robotic Spine Surgery is a surgical procedure in which a human spinal column is operated on with the assistance of robots and computer navigation devices. It's a sort of surgery that uses a minimally invasive method to reduce the dangers patients face while still achieving positive results.