{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:02:27Z","timestamp":1782864147564,"version":"3.54.5"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Robotic navigation has primarily been used for instrumentation in the thoracic and lumbar spine. The cervical spine, on the other hand, is a less common site for robot-assisted screw placement. Furthermore, the anatomical complexity and presence of adjacent vascular structures in this region necessitates high placement accuracy. This operative video illustrates the placement of C1 lateral mass and C2 pars screws for a posterior C1\u20132 fusion using the ExcelsiusGPS surgical robot in a patient with spinal cord compression secondary to a retro-odontoid pannus.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2025.4.FOCVID2510\">https:\/\/stream.cadmore.media\/r10.3171\/2025.4.FOCVID2510<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2025.4.focvid2510","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T02:13:30Z","timestamp":1751336010000},"page":"v3","source":"Crossref","is-referenced-by-count":0,"title":["Robot-assisted cervical screw placement for atlantoaxial fixation"],"prefix":"10.3171","volume":"13","author":[{"given":"Meghana","family":"Bhimreddy","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Daniel","family":"Davidar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjun K.","family":"Menta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tej D.","family":"Azad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Theodore","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lubelski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Tomography","first-page":"614","article-title":"Cervical spine pedicle screw accuracy in fluoroscopic, navigated and template guided systems\u2014a systematic review","volume":"7","author":"Mahmoud A","year":"2021","unstructured":"Mahmoud A, Shanmuganathan K, Rocos B, Sedra F, Montgomery A, Aftab S. Cervical spine pedicle screw accuracy in fluoroscopic, navigated and template guided systems\u2014a systematic review. Tomography. 2021;7(4):614\u2013622."},{"issue":"1","key":"b2","series-title":"Sci Rep","first-page":"27759","article-title":"Comparison of different imaging devices and navigation systems for cervical pedicle screw placement: an experimental study on screw accuracy, screw placement time and radiation dose","volume":"14","author":"Mandelka E","year":"2024","unstructured":"Mandelka E, Wolf J, Medrow A, Gruetzner PA, Vetter SY, Gierse J. Comparison of different imaging devices and navigation systems for cervical pedicle screw placement: an experimental study on screw accuracy, screw placement time and radiation dose. Sci Rep. 2024;14(1):27759."},{"issue":"7","key":"b3","series-title":"Global Spine J","first-page":"2047","article-title":"Augmented reality-assisted spine surgery: an early experience demonstrating safety and accuracy with 218 screws","volume":"13","author":"Bhatt FR","year":"2023","unstructured":"Bhatt FR, Orosz LD, Tewari A,  Augmented reality-assisted spine surgery: an early experience demonstrating safety and accuracy with 218 screws. Global Spine J. 2023;13(7):2047\u20132052."},{"issue":"12","key":"b4","series-title":"Spine J","first-page":"2417","article-title":"Pedicle screw placement in the cervical vertebrae using augmented reality-head mounted displays: a cadaveric proof-of-concept study","volume":"24","author":"Ruiz-Cardozo MA","year":"2024","unstructured":"Ruiz-Cardozo MA, Barot K, Brehm S,  Pedicle screw placement in the cervical vertebrae using augmented reality-head mounted displays: a cadaveric proof-of-concept study. Spine J. 2024;24(12):2417\u20132427."},{"key":"b5","series-title":"World Neurosurg","first-page":"e163","article-title":"Safety and accuracy of robot-assisted cervical screw placement: a systematic review and meta-analysis","volume":"181","author":"Peng J","year":"2024","unstructured":"Peng J, Li Q, Zhang X,  Safety and accuracy of robot-assisted cervical screw placement: a systematic review and meta-analysis. World Neurosurg. 2024;181:e163\u2013e176."},{"issue":"25","key":"b6","series-title":"J Neurosurg Case Lessons","first-page":"CASE22114","article-title":"Robot-assisted atlantoaxial fixation: illustrative cases","volume":"3","author":"Sacino AN","year":"2022","unstructured":"Sacino AN, Materi J, Davidar AD,  Robot-assisted atlantoaxial fixation: illustrative cases. J Neurosurg Case Lessons. 2022;3(25):CASE22114."},{"issue":"3","key":"b7","series-title":"Orthop Surg","first-page":"400","article-title":"Robot-assisted anterior odontoid screw fixation: a case report","volume":"8","author":"Tian W","year":"2016","unstructured":"Tian W, Wang H, Liu YJ. Robot-assisted anterior odontoid screw fixation: a case report. Orthop Surg. 2016;8(3):400\u2013404."},{"issue":"2 Suppl 1","key":"b8","series-title":"Neurosurgery","first-page":"ONS129","article-title":"Bone-mounted miniature robotic guidance for pedicle screw and translaminar facet screw placement: part 2\u2013evaluation of system accuracy","author":"Togawa D","year":"2007","unstructured":"Togawa D, Kayanja MM, Reinhardt MK,  Bone-mounted miniature robotic guidance for pedicle screw and translaminar facet screw placement: part 2\u2013evaluation of system accuracy. 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