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CNSO Overview of Robotic Surgery

Over 4.83 million spinal operations are performed annually around the world, with 1.34 million operations taking place in the United States alone.1 In order to optimize and enhance surgeon performance, robot-assisted systems have been developed and deployed worldwide.2–5 In spine surgery, robotic technology has been utilized for spinal fusion and instrumentation procedures to aid intraoperative navigation, trajectory determination, and screw implantation (D’Souza M, et al. Robotic-Assisted Spine Surgery: History, Efficacy, Cost, And Future Trends. Robot Surg. 2019; 6: 9–23.).

The spine surgeons at CNSO are highly trained in robotic assisted spine surgery utilizing intraoperative spine navigation imaging systems. They have held academic positions at the top medical teaching universities, chief of surgery positions at top spine surgery hospitals, and neurosurgical society presidential positions. Together this team of word-class surgeons offer their expertise only in the state of New Jersey. They are the only board-certified multi-specialty team in New Jersey with proven success in treating patients using minimally invasive surgery techniques such as robotic and spine navigation imaging systems in New Jersey.

While spine robotics has been available in the United States since 2004, the technology evolved significantly in the spine realm in the last few years. By 2015, over 3000 procedures were performed annually in the United States and multiple other top medical device companies have produced competitors such as the Globus Excelsius GPS. This trend is mimicking the Intuitive Surgical robot (Intuitive Surgical, Inc., Sunnyvale, CA) used for prostate, obstetrics and gynecologic surgeries, which in 2015 already had 700,000 procedures completed. The use of robotics for spine surgery has continued to increase over the years as the technology evolves. Today, the use of robotics or an intra-operative CT guided imaging by the CNSO spine surgeon poses no additional cost to the patient or their insurance company, making it even easier for patients with complicated anatomy or previous spine surgery to benefit from its use.
The advantages of intra-operative computer-assisted radiographic imaging as a navigation technique for spine surgery has been well established by multiple academic research studies. Two large meta-analyses demonstrated significantly greater accuracy with computer-assisted navigation pedicle screw placement compared to freehand placement. Patients who underwent computer-assisted navigation device placement consequently had lower neurological complication rates than those who underwent freehand placement. The use of navigation technologies has been extended to spinal tumor resection, revision spine surgery and even scoliosis surgery, with encouraging early results.
CNSO spine surgeons have used robotics and spine navigation systems for the most complex spine surgery revisions, scoliosis, and spinal deformities. They have had great success correcting previous spine surgery with failed back symptoms as well as preventing the need for future additional spine surgery.

Images show two robotic platforms commonly used for spine surgery, the Globus Excelsius GPS (Globus, Inc) and the Medtronic MazorX (Medtronic PLC).

Doctor Offering Telemedicine Through Laptop

CNSO is now offering telemedicine which allows patients at remote locations such as their home, car, or work, to access CNSO experts quickly and efficiently without requiring any travel. For more information or to schedule a telemedicine visit, call us at 973-633-1122.


See how the team at Centers for Neurosurgery, Spine, and Orthopedics dedicates their practice to providing renowned brain and spine treatment with our patient-centered approach.

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