Neurospine.  2020 Mar;17(1):114-120. 10.14245/ns.1938454.227.

Telerobotic Spinal Surgery Based on 5G Network: The First 12 Cases

• Tian W
• Fan M
• Zeng C
• Liu Y
• He D
• Zhang Q

• KMID: 2501539
• DOI: http://doi.org/10.14245/ns.1938454.227

Abstract

Objective
The purpose of this study was to determine the efficacy and feasibility of 5th generation wireless systems (5G) telerobotic spinal surgery in our first 12 cases.
Methods
A total of 12 patients (5 males, 7 females; age, 23–71 years) with spinal disorders (4 thoracolumbar fractures, 6 lumbar spondylolisthesis, 2 lumbar stenosis) were treated with 5G telerobotic spinal surgery. Sixty-two pedicle screws were implanted.
Results
All patients had substantial relief from their symptoms. Screw placements were classified using Gertzbein-Robbins criteria. There were 59 grade A, 3 grade B. Mean operation time was 142.5 ± 46.7 minutes. Mean guiding wire insertion time was 41.3 ± 9.8 minutes. The deviation between the planned and actual positions was 0.76 ± 0.49 mm. No intraoperative adverse event was found.
Conclusion
5G remote robot-assisted spinal surgery is accurate and reliable. We conclude that 5G telerobotic spinal surgery is both efficacious and feasible for the management of spinal diseases with safety.

Keyword

Telemedicine; Remote surgery; Telesurgery; Robotic surgery; Orthopaedics; 5G