Surgery
Conditions
Brief summary
This study retrospectively analyzed cases of remote robot-assisted spine surgery performed jointly by the Beijing Jishuitan Hospital Spinal Surgery and partner hospitals, with cases of local orthopedic robot-assisted spine surgeries performed by Beijing Jishuitan Hospital between April 2021 and December 2021.
Detailed description
Local orthopedic robot-assisted spine surgeries were performed according to the guidelines for thoracolumbar pedicle screw placement assisted by orthopedic surgical robots. Based on the 5G network, the orthopedic robotic remote surgery platform is built at Beijing Jishuitan Hospital, providing primary hospitals with a platform for preoperative consultation, intraoperative communication and surgical robot teleoperation, and postoperative follow-up. With the support of the 5G network, equipment and surgical robots are integrated into the remote surgery service platform, building a high-speed transmission channel between Beijing Jishuitan Hospital and other hospitals.
Interventions
PROCEDUREremote robot-assisted spine surgery
Based on the 5G network, the orthopedic robotic remote surgery platform is built at Beijing Jishuitan Hospital, providing primary hospitals with a platform for preoperative consultation, intraoperative communication and surgical robot teleoperation, and postoperative follow-up. With the support of the 5G network, equipment and surgical robots are integrated into the remote surgery service platform, building a high-speed transmission channel between Beijing Jishuitan Hospital and other hospitals.
Sponsors
Beijing Jishuitan Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* patients received remote robot-assisted spinal surgery or local orthopedic robot-assisted spinal surgery; * patients had complete medical records and imaging data; * patients provided informed consent.
Exclusion criteria
* revision surgery; * more than four surgical segments; * patients with severe comorbidities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The accuracy of guide-wire placement or positioning | 1 month | according to the Gertzbein and Robbins scale, including grade A (screw was completely within the pedicle), grade B (pedicle cortical breach \<2 mm), grade C (pedicle cortical breach \<4 mm), grade D (pedicle cortical breach \<6 mm), and grade E (pedicle cortical breach \>6 mm). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operation time | 1 day | Time from start to finish of surgery |
| complication | 1 month | Nerve injury, epidural hematoma, and infection |
| network interruptions | 1 day | failure to establish connection, the interruption of connection and severe delays in connection, and remote surgery abandonment. |
Countries
China
Outcome results
None listed