Tech & Health: Spine surgery goes high-tech

SURGERY MEETS ROBOTICS: HS Chhabra, scientific director and leader of backbone products and services, Indian Spinal Injuries Centre

Poor way of life, aggravating dwelling and most certainly genetic stipulations are making spinal illnesses and deformities extra not unusual than earlier than. Also, India information an alarmingly excessive quantity instances of spinal trauma and spinal tumours once a year. However, working on a backbone is without doubt one of the maximum difficult surgical procedures a surgeon can strive.

HS Chhabra, a famend orthopaedic backbone surgeon and scientific director cum leader of backbone products and services at New Delhi-based Indian Spinal Injuries Centre (ISIC) explains the daunting process: “As the body’s central support structure, the spine has 31 pairs of spinal nerves—8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal, and each pair connects the spinal cord with a specific region of the body. When combined with other common surgical and post-surgical complications, one can imagine the immense risk of a spine surgery.”

Thanks to evolving era and engineering capabilites, minimally invasive backbone surgical procedures are turning into more secure and extra actual than ever. With the appearance of the robotics way, Chhabra says that backbone surgical treatment has grow to be higher in the case of affected person results. “Spine Robotics interface with O-arm is the most recent advancement that can help surgeons before and during the surgery and improve results and accuracy for patients causing lesser pain, promoting faster recovery and reducing the risk of a revision surgery,” he says.

What is O-arm?
The O-arm, with its patented design, supplies true 360 levels three-D imaging throughout the process backbone surgical procedures. It is optimised for the necessities of backbone and orthopedic surgical procedures, significantly decreasing the probabilities of a revision surgical treatment. O-arm no longer best supplies real-time, intraoperative imaging of a affected person’s anatomy with excessive definition but in addition a big field-of-view in each two and 3 dimensions. The retractable O-arm can internally rotate across the affected person on an working desk in 360-degrees with 6-degrees freedom, taking a 2D or 3-D symbol of the realm to be operated. Thus, the surgeon can visualise the affected person’s anatomy from any desired attitude.

Going past high-definition real-time imaging, O-arm has different workflow advantages which make the surgeon’s task more straightforward, scale back rigidity within the OT and give a boost to self belief. “First, with robotic positioning system operation theatre personnel can use O-arm just like the traditional practice of a C-arm, thus making it very easy for the surgical team,” says the highest surgeon at ISIC. “Second, the imaging time is just 13 seconds. Further with the choice of varying dosage modes, O-arm enables the most optimised dose without compromising on image quality. Lastly, O-arm is fully mobile and can be easily moved from one operating room to another for concurrent use.”

Why O-arm and robotics at ISIC?
“Owing to ISIC’s reputation, we get a lot more complicated and revision cases as compared to a typical multi-specialty hospital. Also, our spine surgery volumes are quite high,” says Chhabra. He explains that the instant there’s any complication, the imaging wishes to move up. While the standard pre-operation CT is helping in prognosis, this symbol is inquisitive about the affected person dealing with up and the surgical treatment is normally carried out with the affected person dealing with down or sideways. As a consequence, even in easy headaches, there’s anatomical shift, this is, the relative place of anatomical buildings as noticed in pre-operation CT isn’t the similar as throughout the surgical treatment. This could make the task of a surgeon tougher.

“This is where engineering and technology solves the problem: O-arm with Mazor X S.E. Robotic system,” he stresses.
Basically, O-Arm when mixed with the Mazor Robotic device results in ecosystem advantages. The two applied sciences are designed to paintings in combination seamlessly. As a consequence, the picture taken from O-Arm may also be transferred to the robot device on the click on of a button and the affected person registration procedure is automated. This no longer best saves time but in addition eliminates probabilities of guide error. Further, as the picture is taken intra-operatively, the relative place of anatomical buildings within the symbol is identical as within the affected person at the desk.

“With this image an experienced surgical team can quickly make the most optimum plan using advanced planning capabilities of the robotic system, execute this plan with robotic precision all the while visualising with navigation features of Mazor X S.E. robotic system,” he explains. “Finally, with O-arm we can take a confirmatory scan just before finishing the surgery. The position memory functionality enables us to robotically manoeuvre O-arm to the same position at the touch of a button to reconfirm implant position. As a result, we don’t need to wait for a post-op CT-scan to confirm the surgical goals. If any correction is needed, the same can be done in the same surgery, potentially avoiding revision surgery.”

Surgery with O-arm robotics is a large step-up no longer best in making improvements to affected person results in common surgical procedures, but in addition in advanced deformity surgical procedures, cervical backbone surgical procedures, protective essential vessels in neck and lots of different advanced spinal procedures.


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