Our Summary

This research paper investigates the use of robotic-assisted (RA) surgery in scoliosis correction procedures. The researchers compared RA surgery to conventional freehand techniques (CF) and navigation systems (NS). They carried out a systematic review and meta-analysis of several databases, adhering to the PRISMA guidelines. They found that RA surgery provided better accuracy in terms of screw placement compared to both CF and NS. However, RA surgeries took a longer time to perform. In terms of outcomes such as blood loss, radiation exposure, length of hospital stay, pain score, and rates of neurological injury and revision surgery, all three techniques were similar. So, while RA surgery is more accurate, it also takes more time.

FAQs

  1. What is the main advantage of using robotic-assisted surgery for scoliosis correction?
  2. Does robotic-assisted surgery take longer than conventional freehand techniques and navigation systems?
  3. Do outcomes like blood loss, radiation exposure, length of hospital stay, pain score, and rates of neurological injury and revision surgery differ between robotic-assisted surgery and other techniques?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scoliosis surgery is to discuss the benefits and potential drawbacks of robotic-assisted surgery compared to conventional freehand techniques and navigation systems. While robotic-assisted surgery may offer better accuracy in screw placement, it may also take longer to perform. Patients should weigh the potential benefits and risks of each technique with their doctor to make an informed decision about their treatment.

Suitable For

Patients who are typically recommended for scoliosis surgery are those who have a severe curvature of the spine (usually greater than 40-50 degrees), have experienced progression of their curvature despite other forms of treatment such as bracing, and are experiencing symptoms such as pain, difficulty breathing, or impaired function. Additionally, patients who have a significant cosmetic deformity or are at risk of developing further complications due to their scoliosis may also be recommended for surgery. It is important for patients to discuss their individual case with a spine specialist to determine the most appropriate treatment plan.

Timeline

Before scoliosis surgery:

  1. The patient is diagnosed with scoliosis through physical examination and imaging tests such as X-rays.
  2. The patient undergoes non-surgical treatments such as bracing, physical therapy, and pain management.
  3. If non-surgical treatments are ineffective, the patient and their healthcare team decide to proceed with surgery.
  4. Preoperative assessments are conducted to evaluate the patient’s overall health and fitness for surgery.
  5. The patient undergoes preoperative education to understand the surgical procedure, potential risks, and postoperative recovery process.

After scoliosis surgery:

  1. The patient is admitted to the hospital and undergoes the surgical procedure, which may involve spinal fusion, instrumentation, and correction of spinal curvature.
  2. Postoperative pain management, wound care, and physical therapy are provided to help the patient recover.
  3. The patient stays in the hospital for a few days to monitor for any complications and ensure proper healing.
  4. The patient is discharged from the hospital and instructed on postoperative care, including activity restrictions and follow-up appointments.
  5. The patient undergoes regular follow-up visits with their healthcare team to monitor their progress, adjust their treatment plan as needed, and ensure long-term success of the surgery.

What to Ask Your Doctor

Some questions a patient may want to ask their doctor about scoliosis surgery include:

  1. Is robotic-assisted surgery a suitable option for my scoliosis correction procedure?
  2. How does robotic-assisted surgery compare to conventional freehand techniques and navigation systems in terms of accuracy, outcomes, and recovery?
  3. What are the potential risks and benefits of undergoing robotic-assisted surgery for scoliosis correction?
  4. How long will the surgery take if performed using robotic assistance compared to other techniques?
  5. What is the expected recovery time and rehabilitation process following robotic-assisted scoliosis surgery?
  6. Are there any specific qualifications or experience required for a surgeon to perform robotic-assisted scoliosis surgery?
  7. What are the potential cost implications of choosing robotic-assisted surgery for scoliosis correction?
  8. Are there any long-term considerations or follow-up care needed after undergoing robotic-assisted scoliosis surgery?
  9. Can you provide me with more information or resources to help me better understand the use of robotic-assisted surgery in scoliosis correction procedures?
  10. Are there any alternative treatment options or considerations I should be aware of before making a decision about undergoing scoliosis surgery with robotic assistance?

Reference

Authors: Al-Naseem AO, Al-Muhannadi A, Ramadhan M, Alfadhli A, Marwan Y, Shafafy R, Abd-El-Barr MM. Journal: Spine Deform. 2024 Sep;12(5):1203-1215. doi: 10.1007/s43390-024-00879-y. Epub 2024 Apr 15. PMID: 38619784