Robotic-Assisted Spine Surgery: Role in Training the Next Generation of Spine Surgeons

• Published in: Neurospine Vol. 21; no. 1; pp. 116 - 127
• Main Authors: Lee, Jun Seok, Son, Dong Wuk, Lee, Su Hun, Lee, Jong Hyeok, Kim, Young Ha, Lee, Sang Weon, Oh, Bu Kwang, Sung, Soon Ki, Song, Geun Sung, Yi, Seong
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Spinal Neurosurgery Society 01.03.2024; 대한척추신경외과학회
• Subjects: learning curve; Original; pedicle screws; residency curricula; robot-assisted spine surgery; 신경외과학; Learning curve; Robot-assisted spine surgery; Pedicle screws; Residency curricula
• ISSN: 2586-6583; 2586-6591; 2586-6591
• DOI: 10.14245/ns.2448006.003

Objective: This study aimed to assess the degree of interest in robot-assisted spine surgery (RASS) among residents and to investigate the learning curve for beginners performing robotic surgery.Methods: We conducted a survey to assess awareness and interest in RASS among young neurosurgery residents. Subsequently, we offered a hands-on training program using a dummy to educate one resident. After completing the program, the trained resident performed spinal fusion surgery with robotic assistance under the supervision of a mentor. The clinical outcomes and learning curve associated with robotic surgery were then analyzed.Results: Neurosurgical residents had limited opportunities to participate in spinal surgery during their training. Despite this, there was a significant interest in the emerging field of robotic surgery. A trained resident performed RASS under the supervision of a senior surgeon. A total of 166 screw insertions were attempted in 28 patients, with 2 screws failing due to skiving. According to the Gertzbein-Robbins classification, 85.54% of the screws were rated as grade A, 11.58% as grade B, 0.6% as grade C, and 1.2% as grade D. The clinical acceptance rate was approximately 96.99%, which is comparable to the results reported by senior experts and time per screw statistically significantly decreased as experience was gained.Conclusion: RASS can be performed with high accuracy within a relatively short timeframe, if residents receive adequate training.