Robotics in spinal surgery has significant potential benefits for both surgeons and patients, including reduced surgeon fatigue, improved screw accuracy, decreased radiation exposure, greater options for minimally invasive surgery, and less time required to train residents on techniques that can have steep learning curves. However, previous robotic systems have several drawbacks, which are addressed by the innovative ExcelsiusGPS^TM robotic system. The robot is secured to the operating room floor, not the patient. It has a rigid external arm that facilitates direct transpedicular drilling and screw placement, without requiring K-wires. In addition, the ExcelsisuGPS^TM has integrated neuronavigation, not present in other systems. It also has surveillance marker that immediately alerts the surgeon in the event of loss of registration, and a lateral force meter to alert the surgeon in the event of skiving. Here, we present the first spinal surgery performed with the assistance of this newly approved robot. The surgery was performed with excellent screw placement, minimal radiation exposure to the patient and surgeon, and the patient had a favorable outcome. We report the first operative case with the ExcelsisuGPS^TM, and the first spine surgery utilizing real-time image-guided robotic assistance.

脊柱外科手术中的机器人技术对外科医师和患者均具有显着的潜在益处，包括降低外科医师的疲劳度，改善螺钉的准确性，减少放射线的照射，微创外科手术的更多选择以及培训住院医师掌握陡峭学习曲线的技术所需的时间更少。但是，以前的机器人系统具有一些缺点，创新的ExcelsiusGPS ^TM机器人系统可以解决这些缺点。机器人固定在手术室地板上，而不是病人身上。它具有坚固的外臂，无需直接使用K线，即可直接进行椎弓根钻孔和螺钉放置。此外，ExcelsisuGPS ^TM具有集成的神经导航功能，在其他系统中不存在。它还具有监视标记，在丢失配准的情况下会立即警告外科医生，并具有横向测力计在刮削时向外科医生发出警报。在这里，我们介绍了在这个新批准的机器人的帮助下进行的首次脊柱外科手术。进行手术时，螺钉的位置要好，对患者和外科医生的放射线要少，患者的手术效果良好。我们报告了第一例使用ExcelsisuGPS ^TM的手术病例，以及第一例利用实时图像引导机器人协助进行脊柱手术的病例。