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International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
Robotics in the outpatient endoscopic spine surgery arena
Anthony Yeung
Desert Institute for Spine Care, USA
T
he role of robotics is becoming more prominent as surgical
procedure and in the spine it has become more complex.
Accuracy of hardware placement is becoming more important
even for experienced surgeons. Robotics is playing a greater
role for not only improving results, but for patient safety. It
has the added benefit of minimizing radiation, improving the
accuracy of placement of endoscopic trajectories, and allowing
for safer application of minimally invasive surgical approaches.
It is well recognized that intra-operative and immediate post-
operative imaging is helpful in MIS spine surgery, especially
for percutaneous screw placement and guidance for tubes
and implants. Radiation Safety is also enhanced due to the
adoption of image guidance and dependence on floroscopy for
needle and cannula placement. While known traditional fusion
procedures such as minimally invasive placement of surgical
hardware such as pedicle screw placement, implantation of
stabilization devices that already can be accomplished under
open and fluoroscopic guidance, the development of robotics
to better standardize cannula and endoscopic placement
for endoscopic surgery will also have great impact on the
development and standardization of the various approaches
by different key opinion leaders. Yeung’s inside-out philosophy
and Technique with Endoscopic trajectories aided by Artificial
Intelligence programmed into the Robot will be featured here
to Illustrate cannula placement for the various target points for
endoscopic decompression. Industry developments helping
endoscopic procedures: Intra-operative CT scans from a
rapid portable CT scanner (O-arm, Airo) is aided by a robotic
arm providing image guidance through navigation which will
shorten the learning curve for novice and less experienced
surgeons. It will also help decrease radiation exposure. It can
help with instrument placement for surgical trajectories. The
Orion Surgical suite brings all the components together. To
conclude, Robotic techniques are evolving rapidly, and offer
significant advantages to surgeons by precise reproducible
cannula placement in minimally invasive approaches.
Speaker Biography
Anthony T Yeung specializes in diagnosing and treating the patho-anatomy of back
pain and sciatica from painful degenerative conditions of the lumbar spine, particularly
discogenic pain from toxic annular tears, disc herniations, lumbar spondylosis and
foraminal stenosis. His Endoscopic procedures are over 10,000 since 1991 are effective
in relieving both back and leg pain, by visualizing, decompressing, and ablating the
pain generator with an endoscope. He is the developer of the Yeung Endoscopic
Spine System, and has interest in developing a robotic and image guidance system to
facilitate his technique for spine surgeons in training.
e:
ayeung@sciatica.com