Minimally invasive, robot-assisted reduction of grade 2 isthmic spondylolisthesis through posterior approach.

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.