Background <p>Cone-beam-based navigation as well as robot-assistance are being increasingly employed in spine surgeries to avoid implant misplacement.</p> Objectives <p>Comparison of technique, precision, radiation dosage, resource needs, and spectrum of application of both methods.</p> Materials und methods <p>Besides In addition to a&#xa0;literature search, learning curves of surgical time and radiation dosages were compared between the first 50&#xa0;robotic cases and 100 cases each with cone-beam navigation or fluoroscopic assistance.</p> Results <p>While robot assistance comes with highest precision and speed, cone-beam-navigation holds the largest spectrum of application. When implementing the robot, the current learning curve is flatter and longer.</p> Conclusions <p>Both technical assistance systems provide a&#xa0;reduced complication rate via increased precision and safety. Acceptance of the high acquisition costs can lead to a reduction in radiation dosage and surgical procedure times.</p>

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Spinale Robotik vs. Cone-Beam-Navigation

  • Patrick Strube,
  • Alexander Hölzl,
  • Anna-Maria Vogel,
  • Georg Matziolis,
  • Chris Lindemann

摘要

Background

Cone-beam-based navigation as well as robot-assistance are being increasingly employed in spine surgeries to avoid implant misplacement.

Objectives

Comparison of technique, precision, radiation dosage, resource needs, and spectrum of application of both methods.

Materials und methods

Besides In addition to a literature search, learning curves of surgical time and radiation dosages were compared between the first 50 robotic cases and 100 cases each with cone-beam navigation or fluoroscopic assistance.

Results

While robot assistance comes with highest precision and speed, cone-beam-navigation holds the largest spectrum of application. When implementing the robot, the current learning curve is flatter and longer.

Conclusions

Both technical assistance systems provide a reduced complication rate via increased precision and safety. Acceptance of the high acquisition costs can lead to a reduction in radiation dosage and surgical procedure times.