Robot for Ligament Tensioning and Assessment of Spinal Stability.

MedStar author(s):
Citation: Global Spine Journal. :21925682211059178, 2021 Dec 07PMID: 34875187Institution: MedStar Union Memorial HospitalDepartment: Spine CenterForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021ISSN:
  • 2192-5682
Name of journal: Global spine journalAbstract: CONCLUSION: The study demonstrates the feasibility and utility of utilizing an intraoperative robotic distractor to measure the amount of spinal mobility present at a level. This could lead to an important clinical tool for both diagnostic functions as well as operative assist functions.METHODS: Testing was performed in fresh human cadaveric tissue. A prototype Robotic Middle Column Distractor was attached unilaterally to the pedicles of L3-4. Distraction forces up to 150 N were applied first in the intact state, and following discectomy of L3-4. Motions were recorded by time-indexed visual and fluoroscopic images, and analyzed to measure actual motions achieved. Functions of the robot unit were monitored during the procedure and evaluated qualitatively.OBJECTIVE: A proof-of-concept study to quantify whether or not differences in segmental mobility associated with spinal instability could be detected by a robotic distraction system.RESULTS: A difference of 2.5 mm in z-axis motion was detected at 150 N load between the intact and post-discectomy states. The robot coupled with the image analysis method was able to clearly detect the difference between the intact ("stable") and post-discectomy ("unstable") spine. Data analysis of fluoroscopic images taken during the procedure showed greater motion than perceived by the investigators from qualitative review of visual data. All monitored robot functions performed within design parameters without error.STUDY DESIGN: An in vitro human cadaveric biomechanics study.All authors: Eisermann L, McAfee PC, Mullinix KFiscal year: FY2022Digital Object Identifier: ORCID: Date added to catalog: 2022-01-25
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Journal Article MedStar Authors Catalog Article 34875187 Available 34875187

CONCLUSION: The study demonstrates the feasibility and utility of utilizing an intraoperative robotic distractor to measure the amount of spinal mobility present at a level. This could lead to an important clinical tool for both diagnostic functions as well as operative assist functions.

METHODS: Testing was performed in fresh human cadaveric tissue. A prototype Robotic Middle Column Distractor was attached unilaterally to the pedicles of L3-4. Distraction forces up to 150 N were applied first in the intact state, and following discectomy of L3-4. Motions were recorded by time-indexed visual and fluoroscopic images, and analyzed to measure actual motions achieved. Functions of the robot unit were monitored during the procedure and evaluated qualitatively.

OBJECTIVE: A proof-of-concept study to quantify whether or not differences in segmental mobility associated with spinal instability could be detected by a robotic distraction system.

RESULTS: A difference of 2.5 mm in z-axis motion was detected at 150 N load between the intact and post-discectomy states. The robot coupled with the image analysis method was able to clearly detect the difference between the intact ("stable") and post-discectomy ("unstable") spine. Data analysis of fluoroscopic images taken during the procedure showed greater motion than perceived by the investigators from qualitative review of visual data. All monitored robot functions performed within design parameters without error.

STUDY DESIGN: An in vitro human cadaveric biomechanics study.

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