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CC BY-NC-ND 4.0 · Asian J Neurosurg 2025; 20(03): 448-455
DOI: 10.1055/s-0045-1806858
Review Article

Spinal Robotics in Adult Spinal Deformity Surgery: Key Concepts and Technical Considerations

Kareem Khalifeh 
1   Department of Neurosurgery, University of California San Diego School of Medicine, La Jolla, California, United States
,
Carson P. McCann
1   Department of Neurosurgery, University of California San Diego School of Medicine, La Jolla, California, United States
,
Nicholas S. Hernandez
1   Department of Neurosurgery, University of California San Diego School of Medicine, La Jolla, California, United States
,
Martin H. Pham
1   Department of Neurosurgery, University of California San Diego School of Medicine, La Jolla, California, United States
› Institutsangaben
Funding None.
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Abstract

Robotic assistance in spine surgery has long been pursued to innovate minimally invasive procedures and enhance patient safety, outcomes, operation time, and affordability. Over the past few decades, advancements in navigation and robotics have fundamentally transformed the role of technology in spine surgery, with their applications continuously expanding. In particular, this technology has made significant strides in the setting of adult spinal deformity (ASD), driving innovations for this technically challenging pathology. In this review, the authors explore key aspects of robotic assistance in ASD surgery, including software planning and construct design, pedicle screw placement, sacropelvic fixation, operative outcomes, and the learning curve associated with adopting this technology. Research articles for this qualitative review were indexed using PubMed and Google Scholar. The review also addresses the opportunities and challenges ahead in the field. Although this technology is in its relative infancy, the growing body of research is beginning to fully characterize its utility in surgery and its potential to redefine the standard of care.

Keywords

adult spinal deformity - minimally invasive - pedicle screw - robotic assistance - robotic guidance - S2 alar-iliac screw

Authors' Contributions

K.K. contributed to conceptualization, writing of the original draft, review, and editing, and visualization. C.P.M. contributed to conceptualization and writing of the original draft. N.S.H. contributed to writing—review and editing. M.H.P. contributed to writing—review and editing, supervision, and project administration.




Publikationsverlauf

Artikel online veröffentlicht:
31. März 2025

© 2025. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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