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This study retrospectively analyzed cases of remote robot-assisted spine surgery performed jointly by the Beijing Jishuitan Hospital Spinal Surgery and partner hospitals, with cases of local orthopedic robot-assisted spine surgeries performed by Beijing Jishuitan Hospital between April 2021 and December 2021.
Local orthopedic robot-assisted spine surgeries were performed according to the guidelines for thoracolumbar pedicle screw placement assisted by orthopedic surgical robots.
Based on the 5G network, the orthopedic robotic remote surgery platform is built at Beijing Jishuitan Hospital, providing primary hospitals with a platform for preoperative consultation, intraoperative communication and surgical robot teleoperation, and postoperative follow-up. With the support of the 5G network, equipment and surgical robots are integrated into the remote surgery service platform, building a high-speed transmission channel between Beijing Jishuitan Hospital and other hospitals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| remote group | Based on the 5G network, the orthopedic robotic remote surgery platform is built at Beijing Jishuitan Hospital, providing primary hospitals with a platform for preoperative consultation, intraoperative communication and surgical robot teleoperation, and postoperative follow-up. With the support of the 5G network, equipment and surgical robots are integrated into the remote surgery service platform, building a high-speed transmission channel between Beijing Jishuitan Hospital and other hospitals. |
| |
| local group | Local orthopedic robot-assisted spine surgeries were performed according to the guidelines for thoracolumbar pedicle screw placement assisted by orthopedic surgical robots. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| remote robot-assisted spine surgery | Procedure | Based on the 5G network, the orthopedic robotic remote surgery platform is built at Beijing Jishuitan Hospital, providing primary hospitals with a platform for preoperative consultation, intraoperative communication and surgical robot teleoperation, and postoperative follow-up. With the support of the 5G network, equipment and surgical robots are integrated into the remote surgery service platform, building a high-speed transmission channel between Beijing Jishuitan Hospital and other hospitals. |
| Measure | Description | Time Frame |
|---|---|---|
| The accuracy of guide-wire placement or positioning | according to the Gertzbein and Robbins scale, including grade A (screw was completely within the pedicle), grade B (pedicle cortical breach <2 mm), grade C (pedicle cortical breach <4 mm), grade D (pedicle cortical breach <6 mm), and grade E (pedicle cortical breach >6 mm). | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| operation time | Time from start to finish of surgery | 1 day |
| complication | Nerve injury, epidural hematoma, and infection | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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patients accepted robot-assisted spine surgery
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| Name | Affiliation | Role |
|---|---|---|
| Wei Tian | Beijing Jishuitan Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Jishuitan hospital | Beijing | Beijing Municipality | 100000 | China |
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| network interruptions | failure to establish connection, the interruption of connection and severe delays in connection, and remote surgery abandonment. | 1 day |