5G-based Telerobot-assisted Spine Surgery
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| remote group 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. |
Procedure: remote 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.
|
| local group Local orthopedic robot-assisted spine surgeries were performed according to the guidelines for thoracolumbar pedicle screw placement assisted by orthopedic surgical robots. |
Outcome Measures
Primary Outcome Measures
- 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 Outcome Measures
- 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.
Eligibility Criteria
Criteria
Inclusion Criteria:
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patients received remote robot-assisted spinal surgery or local orthopedic robot-assisted spinal surgery;
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patients had complete medical records and imaging data;
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patients provided informed consent.
Exclusion Criteria:
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revision surgery;
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more than four surgical segments;
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patients with severe comorbidities.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Beijing Jishuitan hospital | Beijing | Beijing | China | 100000 |
Sponsors and Collaborators
- Beijing Jishuitan Hospital
Investigators
- Principal Investigator: Wei Tian, Beijing Jishuitan Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- JST 202005-08