Issue link: https://beckershealthcare.uberflip.com/i/1335763
11 SPINE SURGEONS LET US HELP YOU BUILD YOUR SPINE & ORTHOPEDIC INSTRUMENT TRAYS SURGICAL INSTRUMENTS FOR BONE AND SOFT TISSUE Phone: 781.849.0109 | Toll Free: 800.925.2995 | www.lifeinstruments.com ISO13485:2016 CERTIFIED SPINE, HIP & KNEE INSTRUMENTS RASPS ZELPI RETRACTORS CURETTES RETRACTORS RONGEURS instrumentation placement. I have used ro- botic soware and guidance to help plan and execute osteotomies for spinal realignment and to guide spinal decompression. I also use robotic guidance to assist with minimally in- vasive lumbar facet preparation in the setting of minimally invasive fusion. I've also used robotic/navigation guidance for pelvic recon- struction and sacroiliac joint fusion. I believe the next big advancement will be using robotic guidance to prepare the interbody space for fusion and also to perform fully automated robotic-guided laminectomy/decompression." Kornelis Poelstra, MD, PhD. e Robotic Spine Institute of Silicon Valley (Los Ga- tos, Calif.): "e future for robotics is bright. In addition to trajectory guidance to place hardware and perform complex preoperative planning procedures, robots are soon going to be able to have greater autonomy in the OR, I hope. We must discuss these advances together with regulatory bodies such as the FDA, but this autonomy will not be far off. Robotic systems should be able to nearly au- tonomously place hardware, further reducing outliers and human error, help us with discec- tomy procedures and end plate preparation in a more predictable form as well as with de- compression surgery or the spinal canal. "Utilizing advanced learning, I am confident that we can start manipulating muscle and fas- cia and have robotic assistance that will help us open and close surgical approaches. People should also not forget the highly advanced predictive analytics that help us with the deci- sion-making processes of which surgical tech- nique to offer to which patient. Robotic and computer systems are much more capable of analyzing large amounts of variables to help us reduce complications and make better choices for our patient population." Brian Gantwerker, MD. Craniospinal Cen- ter of Los Angeles: "In a year, the spine space will be more crowded in terms of robotics and endoscopy. We anticipate a larger mar- ket share being taken from Medtronic/Mazor and going toward DePuy and NuVasive. ere will be larger patient demand for minimally invasive outpatient and awake surgeries." Christopher Blanchard, DO. Resurgens Orthopaedics (Atlanta): "Robotics in spine surgery is still in its infancy compared to robotics in general surgery. Currently, the largest utility of a robot is with screw place- ment. is is rapidly changing with soware and hardware updates. In the next five years, I think robotics will continue to evolve, al- lowing surgeons to perform surgery in a less invasive way to allow for quicker recovery. I believe as robotics develops, it may complete- ly change how we think about and perform spinal procedures." Vladimir Sinkov, MD. Sinkov Spine Center (Las Vegas): "I am excited about new technol- ogies in spine surgery that will lead to better patient outcomes, faster recovery and lower chance of complications. ese technologies that enable minimally invasive spine surgery, robotic assisted surgery, computer navigation and augmented reality bring with them extra costs. e financial savings associated with minimally invasive spine surgery result in faster recovery and return to work and func- tion, shorter hospitalization or even avoiding an admission altogether. Lower chance of complications or need for revision surgery will more than compensate for such extra expenses. Once the technologies are wide- ly implemented, the costs will inevitably go down while we continue to provide the best and most innovative care for our patients." n