Current state and future perspectives of spinal navigation and robotics—an AO spine survey
Introduction: The use of robotics in spine surgery has gained popularity. This study aims to assess the current state of robotics and raise awareness of its educational implications. Research question: What are the current adoption trends and barriers to the implementation of robotic assistance in s...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529424014218 |
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| author | Stefan Motov Vicki M. Butenschoen Philipp E. Krauss Anand Veeravagu Kelly H. Yoo Felix C. Stengel Nader Hejrati Martin N. Stienen |
| author_facet | Stefan Motov Vicki M. Butenschoen Philipp E. Krauss Anand Veeravagu Kelly H. Yoo Felix C. Stengel Nader Hejrati Martin N. Stienen |
| author_sort | Stefan Motov |
| collection | DOAJ |
| description | Introduction: The use of robotics in spine surgery has gained popularity. This study aims to assess the current state of robotics and raise awareness of its educational implications. Research question: What are the current adoption trends and barriers to the implementation of robotic assistance in spine surgery? Material and methods: An online questionnaire comprising 27 questions was distributed to AO spine members between October 25th and November 13th, 2023, using the SurveyMonkey platform (https://www.surveymonkey.com; SurveyMonkey Inc., San Mateo, CA, USA). Statistical analyses (descriptive statistics, Pearson Chi-Square tests) and generation of all graphs were performed using SPSS Version 29.0.1.0 (IBM SPSS Statistic). Results: We received 424 responses from AO Spine members (response rate = 9.9 %). The participants were mostly board-certified orthopedic surgeons (46 %, n = 195) and neurosurgeons (32%, n = 136). While 49% (n = 208) of the participants reported occasional or frequent use of navigation assistance, only 18 % (n = 70) indicated the use of robotic assistance for spinal instrumentation. A significant difference based on the country's median income status (p < 0.001) and the respondent's number of annual instrumentation procedures (p < 0.001) has been observed. While 11 % (n = 47) of all surgeons use a spinal robot frequently, 36 % (n = 153) of the participants stated they don't need a robot from a current perspective. Most participants (77%, n = 301) concluded that high acquisition costs are the primary barrier for the implementation of robotics. Discussion and conclusion: Although the hype for robotics in spine surgery increased recently, robotic systems remain non-standard equipment due to cost constraints and limited usability. |
| format | Article |
| id | doaj-art-3d2cf329ab8b46bab2c5d2aa3d7696f2 |
| institution | OA Journals |
| issn | 2772-5294 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj-art-3d2cf329ab8b46bab2c5d2aa3d7696f22025-08-20T01:57:25ZengElsevierBrain and Spine2772-52942025-01-01510416510.1016/j.bas.2024.104165Current state and future perspectives of spinal navigation and robotics—an AO spine surveyStefan Motov0Vicki M. Butenschoen1Philipp E. Krauss2Anand Veeravagu3Kelly H. Yoo4Felix C. Stengel5Nader Hejrati6Martin N. Stienen7Spine Center of Eastern Switzerland, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, Switzerland; Department of Neurosurgery, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, Switzerland; Corresponding author. Spine Center of Eastern Switzerland, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, Switzerland.Department of Neurosurgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, GermanyDepartment of Neurosurgery, University Hospital Augsburg, Augsburg, GermanyNeurosurgery Artificial Intelligence Lab, Stanford University School of Medicine, Stanford, CA, USA; Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USANeurosurgery Artificial Intelligence Lab, Stanford University School of Medicine, Stanford, CA, USA; Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USASpine Center of Eastern Switzerland, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, Switzerland; Department of Neurosurgery, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, SwitzerlandSpine Center of Eastern Switzerland, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, Switzerland; Department of Neurosurgery, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, SwitzerlandSpine Center of Eastern Switzerland, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, Switzerland; Department of Neurosurgery, Kantonsspital St. Gallen & Medical School of St. Gallen, St.Gallen, SwitzerlandIntroduction: The use of robotics in spine surgery has gained popularity. This study aims to assess the current state of robotics and raise awareness of its educational implications. Research question: What are the current adoption trends and barriers to the implementation of robotic assistance in spine surgery? Material and methods: An online questionnaire comprising 27 questions was distributed to AO spine members between October 25th and November 13th, 2023, using the SurveyMonkey platform (https://www.surveymonkey.com; SurveyMonkey Inc., San Mateo, CA, USA). Statistical analyses (descriptive statistics, Pearson Chi-Square tests) and generation of all graphs were performed using SPSS Version 29.0.1.0 (IBM SPSS Statistic). Results: We received 424 responses from AO Spine members (response rate = 9.9 %). The participants were mostly board-certified orthopedic surgeons (46 %, n = 195) and neurosurgeons (32%, n = 136). While 49% (n = 208) of the participants reported occasional or frequent use of navigation assistance, only 18 % (n = 70) indicated the use of robotic assistance for spinal instrumentation. A significant difference based on the country's median income status (p < 0.001) and the respondent's number of annual instrumentation procedures (p < 0.001) has been observed. While 11 % (n = 47) of all surgeons use a spinal robot frequently, 36 % (n = 153) of the participants stated they don't need a robot from a current perspective. Most participants (77%, n = 301) concluded that high acquisition costs are the primary barrier for the implementation of robotics. Discussion and conclusion: Although the hype for robotics in spine surgery increased recently, robotic systems remain non-standard equipment due to cost constraints and limited usability.http://www.sciencedirect.com/science/article/pii/S2772529424014218Spine surgeryInstrumentationNavigationRoboticsSurveyUtilization |
| spellingShingle | Stefan Motov Vicki M. Butenschoen Philipp E. Krauss Anand Veeravagu Kelly H. Yoo Felix C. Stengel Nader Hejrati Martin N. Stienen Current state and future perspectives of spinal navigation and robotics—an AO spine survey Brain and Spine Spine surgery Instrumentation Navigation Robotics Survey Utilization |
| title | Current state and future perspectives of spinal navigation and robotics—an AO spine survey |
| title_full | Current state and future perspectives of spinal navigation and robotics—an AO spine survey |
| title_fullStr | Current state and future perspectives of spinal navigation and robotics—an AO spine survey |
| title_full_unstemmed | Current state and future perspectives of spinal navigation and robotics—an AO spine survey |
| title_short | Current state and future perspectives of spinal navigation and robotics—an AO spine survey |
| title_sort | current state and future perspectives of spinal navigation and robotics an ao spine survey |
| topic | Spine surgery Instrumentation Navigation Robotics Survey Utilization |
| url | http://www.sciencedirect.com/science/article/pii/S2772529424014218 |
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