Isabella Decker, Evelyn Hunter, Lauren Jiyeon Seo, Anna Landen, C Rory Goodwin, Melissa Erickson, Sabino Zani, Muhammad M Abd-El-Barr
{"title":"Robotic assisted anterior lumbar interbody fusion with the use of indocyanine green and posterior spinal fusion.","authors":"Isabella Decker, Evelyn Hunter, Lauren Jiyeon Seo, Anna Landen, C Rory Goodwin, Melissa Erickson, Sabino Zani, Muhammad M Abd-El-Barr","doi":"10.3171/2025.4.FOCVID2521","DOIUrl":null,"url":null,"abstract":"<p><p>A 50-year-old male with grade I spondylolisthesis at L5-S1 was treated surgically with a robotic anterior lumbar interbody fusion (R-ALIF). A general surgeon used the da Vinci robotic system to access the disc space and indocyanine green to visualize the vessels including the aortic bifurcation and middle sacral artery. A neurosurgeon completed the discectomy and fusion through a suprapubic GelPOINT Mini. R-ALIF combined with robotic percutaneous pedicle screw fixation resulted in no significant complications, minimal blood loss, a 4-hour surgical time, reduced patient-reported pain, and adequate cage placement. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2521.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V2"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308744/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical focus: Video","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3171/2025.4.FOCVID2521","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A 50-year-old male with grade I spondylolisthesis at L5-S1 was treated surgically with a robotic anterior lumbar interbody fusion (R-ALIF). A general surgeon used the da Vinci robotic system to access the disc space and indocyanine green to visualize the vessels including the aortic bifurcation and middle sacral artery. A neurosurgeon completed the discectomy and fusion through a suprapubic GelPOINT Mini. R-ALIF combined with robotic percutaneous pedicle screw fixation resulted in no significant complications, minimal blood loss, a 4-hour surgical time, reduced patient-reported pain, and adequate cage placement. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2521.
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