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Robot-assisted minimally invasive transforaminal lumbar interbody fusion with contralateral facet decortication: a novel technique for posterolateral fusion. 机器人辅助微创经椎间孔腰椎椎体间融合术伴对侧小面去皮：一种后外侧融合术的新技术。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID2520
Mahmudur Rahman, Mohamed Jalloh, Aditya Vedantam
{"title":"Robot-assisted minimally invasive transforaminal lumbar interbody fusion with contralateral facet decortication: a novel technique for posterolateral fusion.","authors":"Mahmudur Rahman, Mohamed Jalloh, Aditya Vedantam","doi":"10.3171/2025.4.FOCVID2520","DOIUrl":"10.3171/2025.4.FOCVID2520","url":null,"abstract":"<p><p>In traditional minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF), the primary fusion mass comes from the interbody space. In this case report of a 58-year-old female undergoing a MIS-TLIF for grade 2 spondylolisthesis, the authors demonstrate a novel MIS posterolateral fusion technique using robot-guided facet decortication. This method enhances the fusion surface area in patients with osteopenia or spondylolisthesis and advances robotic spine fusion strategies. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2520.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V10"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minimally invasive, robot-assisted reduction of grade 2 isthmic spondylolisthesis through posterior approach. 后路微创机器人辅助2级峡部滑脱复位。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID2522
Amanda N Sacino, Gregory J Cannarsa
{"title":"Minimally invasive, robot-assisted reduction of grade 2 isthmic spondylolisthesis through posterior approach.","authors":"Amanda N Sacino, Gregory J Cannarsa","doi":"10.3171/2025.4.FOCVID2522","DOIUrl":"10.3171/2025.4.FOCVID2522","url":null,"abstract":"<p><p>Robotic assistance in spine surgery has provided new advancements for less invasive surgical options for patients who may otherwise not have qualified for these procedures in the past. The authors report the case of a 62-year-old woman with stage 4 metastatic breast cancer and osteoporosis who presented with debilitating bilateral lower extremity radiculopathy. MRI showed grade 2 spondylolisthesis at L5-S1 causing severe biforaminal stenosis. The video demonstrates use of the robot to ensure proper placement of the hardware as well as to preplan the L4 to S2-alar-iliac construct to allow for the least invasive surgery possible. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24153.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V9"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Step-by-step technique for MIS robotic spinal fusion surgery. MIS机器人脊柱融合手术的分步技术。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID258
Giuseppe Di Nuzzo, Francesco Corrivetti, Vincenzo Seneca, Carmela Chiaramonte, Roberto Granata, Matteo de Notaris, Giuseppe Catapano
{"title":"Step-by-step technique for MIS robotic spinal fusion surgery.","authors":"Giuseppe Di Nuzzo, Francesco Corrivetti, Vincenzo Seneca, Carmela Chiaramonte, Roberto Granata, Matteo de Notaris, Giuseppe Catapano","doi":"10.3171/2025.4.FOCVID258","DOIUrl":"10.3171/2025.4.FOCVID258","url":null,"abstract":"<p><p>The clinical use of new technologies has the goal to produce healthcare advancements. In this context, robotic assistance for spinal surgery carries several potential benefits, including improved accuracy, precision, and efficiency, and such technology is making its way into neurosurgical operating rooms with increasing frequency. However, shifting the spinal fusion technique from the traditional freehand C-arm-guided technique to a robot-assisted technique can be challenging. In this video, the authors present the step-by-step robot-assisted technique, using the Mazor X Stealth robotic technology, as performed in their department for lumbar pedicle screw placement. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID258.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V11"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technical nuances of robotic-guided S2 alar-iliac screw insertion. 机器人引导的S2翼髂螺钉置入技术的细微差别。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID255
Pradeep Vitta, Abhishek Soni, Balamurugan Thirugnanam, Madhava Pai Kanhangad, Vidyadhara Srinivasa
{"title":"Technical nuances of robotic-guided S2 alar-iliac screw insertion.","authors":"Pradeep Vitta, Abhishek Soni, Balamurugan Thirugnanam, Madhava Pai Kanhangad, Vidyadhara Srinivasa","doi":"10.3171/2025.4.FOCVID255","DOIUrl":"10.3171/2025.4.FOCVID255","url":null,"abstract":"<p><p>Robot-assisted S2-alar-iliac (S2AI) screw placement enhances accuracy and minimizes complications in spinal deformity and pelvic fixation surgeries. This video outlines the intraoperative navigation, planning, and execution of S2AI screw placement using robotic guidance. By optimizing screw trajectory and reducing soft-tissue disruption, robotic assistance improves biomechanical stability in long-segment spinopelvic constructs. The integration of real-time navigation enhances precision, potentially lowering revision rates. This video aims to highlight the technical nuances, clinical advantages, and outcomes associated with robot-assisted S2AI screw placement, underscoring its role in advancing spine surgery with greater consistency and safety. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID255.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V8"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted lumbar fixation in single lateral position: OLIF L4-5, ALIF L5-S1, and L4-S1 percutaneous pedicle screws. 单侧位机器人辅助腰椎固定：OLIF L4-5、ALIF L5-S1和L4-S1经皮椎弓根螺钉。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID257
Mario Taravilla-Loma, Javier Giner García, Víctor Rodríguez-Domínguez, Pablo García-Feijoo, María Luisa Gandía-González, Alberto Isla Guerrero
{"title":"Robot-assisted lumbar fixation in single lateral position: OLIF L4-5, ALIF L5-S1, and L4-S1 percutaneous pedicle screws.","authors":"Mario Taravilla-Loma, Javier Giner García, Víctor Rodríguez-Domínguez, Pablo García-Feijoo, María Luisa Gandía-González, Alberto Isla Guerrero","doi":"10.3171/2025.4.FOCVID257","DOIUrl":"10.3171/2025.4.FOCVID257","url":null,"abstract":"<p><p>The integration of robot-assisted spine surgery (RASS) and single lateral position surgery (SLPS) has revolutionized spinal fusion by enhancing efficiency, reducing surgical time, and improving patient outcomes. This video demonstrates a step-by-step procedural workflow for robot-assisted OLIF L4-L5, ALIF L5-S1, and percutaneous pedicle screw fixation (L4-S1) in a single lateral decubitus position using the ExcelsiusGPS system. The workflow highlights preoperative CT-based planning, intraoperative image fusion, real-time navigation, and robot-guided implant placement. SLPS eliminates the need for patient repositioning, reduces anesthesia duration, and enhances operating room efficiency, showcasing the role of robotics and innovative positioning strategies in modern spine surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID257.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V4"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-navigated minimally invasive transforaminal lumbar interbody fusion workflow. 机器人导航微创经椎间孔腰椎椎间融合工作流程。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID2516
Gianluca Vadalà, Fabrizio Russo, Vincenzo Denaro
{"title":"Robot-navigated minimally invasive transforaminal lumbar interbody fusion workflow.","authors":"Gianluca Vadalà, Fabrizio Russo, Vincenzo Denaro","doi":"10.3171/2025.4.FOCVID2516","DOIUrl":"10.3171/2025.4.FOCVID2516","url":null,"abstract":"<p><p>This video demonstrates the robot-navigated minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) technique for spondylolisthesis. Navigation and robotics enhance accuracy in pedicle screw placement, reduce operative time and radiation exposure, and improve patient recovery. The case of a 70-year-old patient with L4-5 spondylolisthesis and spinal stenosis is presented. Key surgical steps include intraoperative imaging, preoperative planning, robot-guided screw placement, targeted decompression, and interbody cage implantation. The workflow optimizes safety and efficiency while minimizing tissue disruption. Postoperative imaging confirms precise implant positioning and spondylolisthesis correction, demonstrating how robotics and navigation contribute to superior surgical precision, reproducibility, and improved clinical outcomes. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2516.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V13"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single-position prone lateral transpsoas interbody fusion with Mazor robotic guidance. 单位俯卧外侧转腰肌椎间融合与Mazor机器人引导。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID24148
John P Wilson, Charles Ronkon, Edward Burkhardt, Stanley Hoang
{"title":"Single-position prone lateral transpsoas interbody fusion with Mazor robotic guidance.","authors":"John P Wilson, Charles Ronkon, Edward Burkhardt, Stanley Hoang","doi":"10.3171/2025.4.FOCVID24148","DOIUrl":"10.3171/2025.4.FOCVID24148","url":null,"abstract":"<p><p>Lumbar spondylolisthesis can lead to symptoms of mechanical back pain and radiculopathy. Surgical treatment aims to address dynamic instability and foraminal stenoses. While various alternatives exist to treat this clinical presentation, the single-position prone lateral interbody fusion has recently emerged as a popular technique. This operative video illustrates the treatment of a grade 1 L3-4 spondylolisthesis with a single-position prone lateral transpsoas interbody fusion with percutaneous instrumentation using the Mazor X Stealth robotic system. Detailed step-by-step techniques with operative pearls are provided to help surgeons incorporate the nuances of robotic navigation to the single-position prone lateral procedure. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID24148.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V6"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robotic assisted anterior lumbar interbody fusion with the use of indocyanine green and posterior spinal fusion. 机器人辅助前路腰椎椎体间融合使用吲哚菁绿和后路脊柱融合。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID2521
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":"10.3171/2025.4.FOCVID2521","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":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prone lateral transpsoas interbody fusion with robotic assistance. 机器人辅助下俯卧外侧转腰椎间盘融合术。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID2515
Joseph M Abbatematteo, Katriel E Lee, Juan P Giraldo, Laura A Snyder
{"title":"Prone lateral transpsoas interbody fusion with robotic assistance.","authors":"Joseph M Abbatematteo, Katriel E Lee, Juan P Giraldo, Laura A Snyder","doi":"10.3171/2025.4.FOCVID2515","DOIUrl":"10.3171/2025.4.FOCVID2515","url":null,"abstract":"<p><p>This video demonstrates robotic assistance for performing single-position prone lateral transpsoas interbody fusion with posterior percutaneous screws. The ability to preoperatively plan the screws and interbody devices may help surgeons improve accuracy as well as increase the ease of performing these single-position minimally invasive procedures. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2515.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"V5"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted cervical screw placement for atlantoaxial fixation. 机器人辅助颈椎螺钉置入用于寰枢椎固定。
Neurosurgical focus: Video Pub Date : 2025-07-01 DOI: 10.3171/2025.4.FOCVID2510
Meghana Bhimreddy, A Daniel Davidar, Arjun K Menta, Tej D Azad, Nicholas Theodore, Daniel Lubelski
{"title":"Robot-assisted cervical screw placement for atlantoaxial fixation.","authors":"Meghana Bhimreddy, A Daniel Davidar, Arjun K Menta, Tej D Azad, Nicholas Theodore, Daniel Lubelski","doi":"10.3171/2025.4.FOCVID2510","DOIUrl":"10.3171/2025.4.FOCVID2510","url":null,"abstract":"<p><p>Robotic navigation has primarily been used for instrumentation in the thoracic and lumbar spine. The cervical spine, on the other hand, is a less common site for robot-assisted screw placement. Furthermore, the anatomical complexity and presence of adjacent vascular structures in this region necessitates high placement accuracy. This operative video illustrates the placement of C1 lateral mass and C2 pars screws for a posterior C1-2 fusion using the ExcelsiusGPS surgical robot in a patient with spinal cord compression secondary to a retro-odontoid pannus. The video can be found here: https://stream.cadmore.media/r10.3171/2025.4.FOCVID2510.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"13 1","pages":"v3"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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