Spinal surgery has evolved considerably over the years, and the introduction of advanced technologies has played a crucial role in improving clinical outcomes. The use of surgical robots, such as the eCential Robotic system, has emerged as an innovative solution for optimizing the precision and safety of procedures, particularly the placement of pedicle screws in the spine.

The eCential Robotics surgical robot offers several advantages for the placement of pedicle screws in the spine. Various studies have demonstrated a significant improvement in screw accuracy and stability, reducing revision surgery rates with surgical robots. The system enables advanced preoperative planning based on three-dimensional imaging, improving understanding of the patient's specific anatomy. This study will also provide a clinical basis for the CE marking process.

The objective of this prospective study is to collect data confirming safety, performance and clinical benefits of the eCential Robotics robot when used during spine and pelvic surgeries.

Inclusion Criteria:

• Patients aged 5 years or older.
• Treated at CHU Amiens Picardie for spinal surgery requiring implantation of pedicle screws.
• Informed consent signed by patient or legal representative and child.
• Membership of a social security scheme.
• Negative pregnancy test for adolescent women of childbearing age

Exclusion Criteria:

• Patient managed by a practitioner with no experience of the eCential Robotics robot.
• Patient requiring a technique without implantation of pedicle screws.
• Patients already suffering from deterministic radiation effects
• Pregnant, parturient or breast-feeding women.
• Patients under guardianship or curators, under safeguard of justice or deprived under public law.