{"id":3842,"date":"2020-05-23T17:11:53","date_gmt":"2020-05-23T21:11:53","guid":{"rendered":"https:\/\/med.virginia.edu\/joshua-li\/?page_id=3842"},"modified":"2020-05-23T17:13:21","modified_gmt":"2020-05-23T21:13:21","slug":"robot-assisted-spine-surgery","status":"publish","type":"page","link":"https:\/\/med.virginia.edu\/joshua-li\/case-studies\/robot-assisted-spine-surgery\/","title":{"rendered":"Robot Assisted Spine Surgery"},"content":{"rendered":"<p>Robotic surgery is widely utilized across many surgical subspecialties including gynecology, urology, and general surgery for minimally invasive procedures. Robot-assisted spine surgery has emerged as a solution to place pedicle screws accurately and mini-invasively while decreasing radiation exposure to both patients and the operating team, complication rates, operative time, and recovery time.\u00a0 The first spine-robot was approved by FDA in 2004.<\/p>\n<p>Benefit of Robotic-Assisted Surgery<\/p>\n<ul>\n<li>Less Invasive<\/li>\n<li>Improved surgical accuracy<\/li>\n<li>Less exposure to radiation<\/li>\n<li>Less risk for surgical complications<\/li>\n<\/ul>\n<div id=\"attachment_3838\" style=\"width: 1461px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3838\" class=\"size-full wp-image-3838\" src=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Spondylolisthesis-1.jpg\" alt=\"\" width=\"1451\" height=\"597\" srcset=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Spondylolisthesis-1.jpg 1451w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Spondylolisthesis-1-300x123.jpg 300w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Spondylolisthesis-1-1024x421.jpg 1024w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Spondylolisthesis-1-150x62.jpg 150w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Spondylolisthesis-1-768x316.jpg 768w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Spondylolisthesis-1-486x200.jpg 486w\" sizes=\"(max-width: 1451px) 100vw, 1451px\" \/><p id=\"caption-attachment-3838\" class=\"wp-caption-text\">Spondylolisthesis is slipping of a vertebra on the vertebra directly below it. It is usually caused by degeneration or spondylolysis, which is a crack in one of vertebra. It causes lower back pain, buttocks pain and radiating pain in the legs.<\/p><\/div>\n<div id=\"attachment_3828\" style=\"width: 1454px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3828\" class=\"size-full wp-image-3828\" src=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Old-screws.jpg\" alt=\"\" width=\"1444\" height=\"1080\" srcset=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Old-screws.jpg 1444w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Old-screws-300x224.jpg 300w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Old-screws-1024x766.jpg 1024w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Old-screws-150x112.jpg 150w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Old-screws-768x574.jpg 768w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Old-screws-267x200.jpg 267w\" sizes=\"(max-width: 1444px) 100vw, 1444px\" \/><p id=\"caption-attachment-3828\" class=\"wp-caption-text\">Figure above is a patient with spondylolytic spondylolisthesis had surgery 15 years ago, which shows the screws placement in a divergent position that has unfavorable biomechanical property compared with convergent position.<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3830\" src=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Traditional-pedicle-screws.jpg\" alt=\"\" width=\"1445\" height=\"954\" srcset=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Traditional-pedicle-screws.jpg 1445w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Traditional-pedicle-screws-300x198.jpg 300w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Traditional-pedicle-screws-1024x676.jpg 1024w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Traditional-pedicle-screws-150x99.jpg 150w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Traditional-pedicle-screws-768x507.jpg 768w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Traditional-pedicle-screws-303x200.jpg 303w\" sizes=\"(max-width: 1445px) 100vw, 1445px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3836\" src=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Robot-1.jpg\" alt=\"\" width=\"1423\" height=\"915\" srcset=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Robot-1.jpg 1423w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Robot-1-300x193.jpg 300w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Robot-1-1024x658.jpg 1024w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Robot-1-150x96.jpg 150w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Robot-1-768x494.jpg 768w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/Robot-1-311x200.jpg 311w\" sizes=\"(max-width: 1423px) 100vw, 1423px\" \/><\/p>\n<div id=\"attachment_3831\" style=\"width: 1420px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3831\" class=\"size-full wp-image-3831\" src=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/spondylolisthesis.jpg\" alt=\"\" width=\"1410\" height=\"1079\" srcset=\"https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/spondylolisthesis.jpg 1410w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/spondylolisthesis-300x230.jpg 300w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/spondylolisthesis-1024x784.jpg 1024w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/spondylolisthesis-150x115.jpg 150w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/spondylolisthesis-768x588.jpg 768w, https:\/\/med.virginia.edu\/joshua-li\/wp-content\/uploads\/sites\/370\/2020\/05\/spondylolisthesis-261x200.jpg 261w\" sizes=\"(max-width: 1410px) 100vw, 1410px\" \/><p id=\"caption-attachment-3831\" class=\"wp-caption-text\">Figure above showed before (upper panel) and after (below panel) the surgery. You can see we place the screws with larger convergence. If we did not use Robot, we had to make a long incision and perform excessive muscle dissection to achieve the large convergence.<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Robotic surgery is widely utilized across many surgical subspecialties including gynecology, urology, and general surgery for minimally invasive procedures. Robot-assisted spine surgery has emerged as a solution to place pedicle screws accurately and mini-invasively while decreasing radiation exposure to both patients and the operating team, complication rates, operative time, and recovery time.\u00a0 The first spine-robot [&hellip;]<\/p>\n","protected":false},"author":940,"featured_media":0,"parent":3385,"menu_order":90,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":"","_members_access_role":[],"_members_access_error":"","_links_to":"","_links_to_target":""},"tags":[],"class_list":["post-3842","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Robot Assisted Spine Surgery - Joshua Li, MD, PhD<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/med.virginia.edu\/joshua-li\/case-studies\/robot-assisted-spine-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Robot Assisted Spine Surgery - Joshua Li, MD, PhD\" \/>\n<meta property=\"og:description\" content=\"Robotic surgery is widely utilized across many surgical subspecialties including gynecology, urology, and general surgery for minimally invasive procedures. 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