The symbiosis of robotics, enabling technology and minimally invasive surgery1

Background: Procedural and technical advances in spinal surgery, such as the utilization of minimally-invasive techniques, have evolved alongside the development and distribution of tools such as navigation, robotics, augmented reality (AR), dynamic visualization, and preoperative planning modules....

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Main Authors: Katherine M. Bunch, MD, MS, Garret P. Greeneway, MD, Darius S. Ansari, MD, Chetan Patel, MD, Eric W. Nottmeier, MD, Karthik H.S. Madhavan, MD, Stephen M. Pirris, MD, Andrew A. Sama, MD, Nathaniel P. Brooks, MD
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:North American Spine Society Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666548425001891
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author Katherine M. Bunch, MD, MS
Garret P. Greeneway, MD
Darius S. Ansari, MD
Chetan Patel, MD
Eric W. Nottmeier, MD
Karthik H.S. Madhavan, MD
Stephen M. Pirris, MD
Andrew A. Sama, MD
Nathaniel P. Brooks, MD
author_facet Katherine M. Bunch, MD, MS
Garret P. Greeneway, MD
Darius S. Ansari, MD
Chetan Patel, MD
Eric W. Nottmeier, MD
Karthik H.S. Madhavan, MD
Stephen M. Pirris, MD
Andrew A. Sama, MD
Nathaniel P. Brooks, MD
author_sort Katherine M. Bunch, MD, MS
collection DOAJ
description Background: Procedural and technical advances in spinal surgery, such as the utilization of minimally-invasive techniques, have evolved alongside the development and distribution of tools such as navigation, robotics, augmented reality (AR), dynamic visualization, and preoperative planning modules. Each innovative advancement in a surgeon’s ability to see, measure, and manipulate human tissue entails an improvement or novel application of existing tools. Similarly, given the enormous economic and opportunity costs associated with the research and development of novel technologies, these efforts must be refined to address existing needs and infrastructure gaps. The successful application of enabling technologies such as robotics, navigation, and minimally-invasive techniques, is therefore dependent upon the expansion of new surgical tools and techniques. Methods: We review numerous technological advances (Navigation, Intraoperative Imaging, Robotics, Augmented Reality, Computational Planning and Visualization) within the field of spine surgery and demonstrate their mutually beneficial, yet dependent, relationship with one another in advancing spine surgery technology through both expert opinion and published literature. Results: We provide an overview of several different domains of enabling technology as they pertain to novel applications in spinal surgery and review current uses, limitations, and areas of potential improvement. Conclusions: The integration of augmented reality, robotics, visualization and navigational technologies, minimally invasive techniques, and other advanced tools have enabled the surgeon to perform both standard and novel procedures in unique ways.
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spelling doaj-art-b3d497aa148649e5a943f5138d2e8c872025-08-20T04:01:57ZengElsevierNorth American Spine Society Journal2666-54842025-09-012310076910.1016/j.xnsj.2025.100769The symbiosis of robotics, enabling technology and minimally invasive surgery1Katherine M. Bunch, MD, MS0Garret P. Greeneway, MD1Darius S. Ansari, MD2Chetan Patel, MD3Eric W. Nottmeier, MD4Karthik H.S. Madhavan, MD5Stephen M. Pirris, MD6Andrew A. Sama, MD7Nathaniel P. Brooks, MD8Department of Neurological Surgery, University of Wisconsin Hospital and Clinics, Madison, WIDepartment of Neurological Surgery, University of Wisconsin Hospital and Clinics, Madison, WIDepartment of Neurological Surgery, University of Wisconsin Hospital and Clinics, Madison, WIDepartment of Orthopedic Surgery, Advent Health, Altamonte Springs, FLDepartment of Neurological Surgery, Mayo Clinic Jacksonville, Jacksonville, FLDepartment of Neurological Surgery, Cooper University Health Care, Camden, NJDepartment of Neurological Surgery, Mayo Clinic Jacksonville, Jacksonville, FLDepartment of Orthopedic Surgery, Hospital for Special Surgery, New York, NYDepartment of Neurological Surgery, University of Wisconsin Hospital and Clinics, Madison, WI; Corresponding author. Department of Neurological Surgery, 600 Highland Avenue, K4/8 CSC, Box 8660, Madison, WI 53792Background: Procedural and technical advances in spinal surgery, such as the utilization of minimally-invasive techniques, have evolved alongside the development and distribution of tools such as navigation, robotics, augmented reality (AR), dynamic visualization, and preoperative planning modules. Each innovative advancement in a surgeon’s ability to see, measure, and manipulate human tissue entails an improvement or novel application of existing tools. Similarly, given the enormous economic and opportunity costs associated with the research and development of novel technologies, these efforts must be refined to address existing needs and infrastructure gaps. The successful application of enabling technologies such as robotics, navigation, and minimally-invasive techniques, is therefore dependent upon the expansion of new surgical tools and techniques. Methods: We review numerous technological advances (Navigation, Intraoperative Imaging, Robotics, Augmented Reality, Computational Planning and Visualization) within the field of spine surgery and demonstrate their mutually beneficial, yet dependent, relationship with one another in advancing spine surgery technology through both expert opinion and published literature. Results: We provide an overview of several different domains of enabling technology as they pertain to novel applications in spinal surgery and review current uses, limitations, and areas of potential improvement. Conclusions: The integration of augmented reality, robotics, visualization and navigational technologies, minimally invasive techniques, and other advanced tools have enabled the surgeon to perform both standard and novel procedures in unique ways.http://www.sciencedirect.com/science/article/pii/S2666548425001891ImagingMinimally Invasive surgeryNavigationRoboticsTechnologyVisualization
spellingShingle Katherine M. Bunch, MD, MS
Garret P. Greeneway, MD
Darius S. Ansari, MD
Chetan Patel, MD
Eric W. Nottmeier, MD
Karthik H.S. Madhavan, MD
Stephen M. Pirris, MD
Andrew A. Sama, MD
Nathaniel P. Brooks, MD
The symbiosis of robotics, enabling technology and minimally invasive surgery1
North American Spine Society Journal
Imaging
Minimally Invasive surgery
Navigation
Robotics
Technology
Visualization
title The symbiosis of robotics, enabling technology and minimally invasive surgery1
title_full The symbiosis of robotics, enabling technology and minimally invasive surgery1
title_fullStr The symbiosis of robotics, enabling technology and minimally invasive surgery1
title_full_unstemmed The symbiosis of robotics, enabling technology and minimally invasive surgery1
title_short The symbiosis of robotics, enabling technology and minimally invasive surgery1
title_sort symbiosis of robotics enabling technology and minimally invasive surgery1
topic Imaging
Minimally Invasive surgery
Navigation
Robotics
Technology
Visualization
url http://www.sciencedirect.com/science/article/pii/S2666548425001891
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