- OBJECTIVE: The use of robotics in spine surgery has gained popularity in recent years. This study aims to assess the current state of navigation and robotics in spine surgery and raise awareness of their educational implications across the AO Spine regions.
METHODS/MATERIAL: An online questionnaire comprising 27 questions was distributed to AO spine members between October 25th and November 13th, 2023, using the SurveyMonkey platform (https://www.surveymonkey.com; SurveyMonkey Inc., San Mateo, CA, USA). Statistical analyses (descriptive statistics, Pearson Chi-Square tests) and generation of all graphs were performed using SPSS Version 29.0.1.0 (IBM SPSS Statistic).
RESULTS: We received 424 responses from AO Spine members (response rate = 9.9 %). The participants were mostly board-certified orthopedic surgeons (46 %, n=195) and neurosurgeons (32%, n=136) with an equal distribution from academic/non-academic institutions (50 %, n=212). While 49% (n=208) of the participants reportedOBJECTIVE: The use of robotics in spine surgery has gained popularity in recent years. This study aims to assess the current state of navigation and robotics in spine surgery and raise awareness of their educational implications across the AO Spine regions.
METHODS/MATERIAL: An online questionnaire comprising 27 questions was distributed to AO spine members between October 25th and November 13th, 2023, using the SurveyMonkey platform (https://www.surveymonkey.com; SurveyMonkey Inc., San Mateo, CA, USA). Statistical analyses (descriptive statistics, Pearson Chi-Square tests) and generation of all graphs were performed using SPSS Version 29.0.1.0 (IBM SPSS Statistic).
RESULTS: We received 424 responses from AO Spine members (response rate = 9.9 %). The participants were mostly board-certified orthopedic surgeons (46 %, n=195) and neurosurgeons (32%, n=136) with an equal distribution from academic/non-academic institutions (50 %, n=212). While 49% (n=208) of the participants reported occasional or frequent use of navigation assistance, only 18 % (n=70) indicated the use of robotic assistance for spinal instrumentation. A significant difference based on the country"s median income status (p<0.001) and the respondent"s number of annual instrumentation procedures (p<0.001) has been observed. While 11 % (n=47) of all surgeons use a spinal robot frequently, 36 % (n=153) of the participants stated they don"t need a robot from a current perspective. Most participants (77%, n=301) concluded that high acquisition costs are the primary barrier for the implementation of robotics.
CONCLUSION: Although the hype for robotics in spine surgery increased recently, robotic systems remain non-standard equipment due to cost constraints and limited usability. Spinal navigation appears to have a broader international utilization.…
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