{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:57:34Z","timestamp":1786125454941,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T00:00:00Z","timestamp":1586217600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The utilization of robotics has been gaining increased popularity in spine surgery. It can be used to assist in pedicle screw insertion when anatomy is complex in deformity surgery, but is also helpful in degenerative spine as it can minimize tissue dissection and fluoroscopy use.\n                    <jats:sup>1-6<\/jats:sup>\n                    We present an operative video that demonstrates the use of a robotic system (Globus Excelsius GPS, Audubon, Pennsylvania) for thoracic instrumentation in an unstable fracture. The patient we present is a 64-yr-old male who sustained a T8-9 distraction extension fracture after falling down a flight of stairs. His computed tomography (CT) scan showed ossification of the anterior longitudinal ligament making ankylosing spondylitis the likely underlying condition.\n                    <jats:sup>7,8<\/jats:sup>\n                    His magnetic resonance imaging showed an epidural hematoma extending from T7 to T11. Due to the unstable nature of this fracture and the presence of the hematoma, informed consent was obtained and the patient underwent thoracic pedicle screw fixation from T7 to T11 and laminectomy for hematoma evacuation. A preoperative CT was done for screw trajectory planning. Paraspinal muscle dissection was limited to the hematoma level to allow for laminectomy and evacuation. After registration of the patient to the robotic system using C-arm fluoroscopy, pilot burr holes are drilled using a rigid robotic arm and with optical tracking in real time. This reduces the degrees of freedom and allows for higher precision of screw placement. To the authors\u2019 knowledge, this video is the first one to show the utilization of robotics for thoracic instrumentation in an acute fracture.\n                  <\/jats:p>","DOI":"10.1093\/ons\/opaa061","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T18:53:25Z","timestamp":1586285605000},"page":"E420-E421","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Robot-Assisted Instrumented Fusion of a T8-9 Extension Distraction Fracture and Epidural Hematoma Evacuation: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1544-4910","authenticated-orcid":false,"given":"Fadi","family":"Al Saiegh","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Leibold","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Mouchtouris","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Sabourin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Stefanelli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Franco","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Harrop","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Jallo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas","family":"Prasad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Heller","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,10]]},"reference":[{"issue":"1","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s11701-019-00963-w","article-title":"Ensuring navigation integrity using robotics in spine surgery","volume":"14","author":"Crawford","year":"2019","journal-title":"J Robot Surg"},{"issue":"Suppl 1","key":"bib2-20240909","doi-asserted-by":"crossref","first-page":"S31","DOI":"10.21037\/jss.2019.04.16","article-title":"The use of robotics in minimally invasive spine surgery","volume":"5","author":"Staub","year":"2019","journal-title":"J Spine Surg"},{"issue":"4","key":"bib3-20240909","doi-asserted-by":"crossref","first-page":"810","DOI":"10.21037\/jss.2018.09.10","article-title":"Primum non nocere: robots and spinal surgery","volume":"4","author":"Zygourakis","year":"2018","journal-title":"J Spine Surg"},{"issue":"6","key":"bib4-20240909","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1097\/BRS.0000000000001778","article-title":"Minimally invasive robotic versus open fluoroscopic-guided spinal instrumented fusions: a randomized controlled trial","volume":"42","author":"Hyun","year":"2017","journal-title":"Spine"},{"issue":"6","key":"bib5-20240909","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1007\/s00586-011-1729-2","article-title":"Perioperative course and accuracy of screw positioning in conventional, open robotic-guided and percutaneous robotic-guided, pedicle screw placement","volume":"20","author":"Kantelhardt","year":"2011","journal-title":"Eur Spine J"},{"issue":"3S","key":"bib6-20240909","doi-asserted-by":"crossref","first-page":"S86","DOI":"10.1093\/neuros\/nyw077","article-title":"Navigation and robotics in spinal surgery: where are we now","volume":"80","author":"Overley","year":"2017","journal-title":"Neurosurgery"},{"issue":"7","key":"bib7-20240909","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1097\/BSD.0b013e318204da02","article-title":"Epidural hematoma associated with occult fracture in ankylosing spondylitis patient: a case report and review of the literature","volume":"24","author":"Elgafy","year":"2011","journal-title":"J Spinal Disord Tech"},{"issue":"10","key":"bib8-20240909","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1007\/s00296-016-3524-1","article-title":"Spinal fractures in patients with ankylosing spondylitis","volume":"36","author":"Leone","year":"2016","journal-title":"Rheumatol Int"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/19\/4\/E420\/33919369\/opaa061.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opaa061","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:55:50Z","timestamp":1786121750000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opaa061"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,7]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opaa061","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,7]]},"assertion":[{"value":"2019-11-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}