ORIGINAL RESEARCH article
Front. Surg.
Sec. Neurosurgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1582889
This article is part of the Research TopicSurgical Skills and Continuing Medical Education in Neurosurgery: Past, Present and FutureView all 5 articles
The Feasibility of Robotic Navigation in Single Position Oblique Lateral Spine Surgery. A Technical Note and A Retrospective Study
Provisionally accepted
Asrafi Rizki Gatam1,2,3Luthfi Gatam1,2,3Ajiantoro Ajiantoro3Omar Luthfi3Phedy Phedy1,2Harmantya Mahadhipta1Syafruddin Husin1
Karina Sylvana Gani1
Mitchel Mitchel1
Erica Kholinne1,4*- 1Department of Orthopedics, Gatam Institute, Tangerang, Indonesia
- 2Department of Orthopedic Surgery, Fatmawati Hospital, Jakarta, Indonesia
- 3Department of Orthopedic Surgery, Premier Bintaro Hospital, Tangerang, Indonesia
- 4Department of Orthopedic Surgery, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia
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Introduction: Robotic-assisted techniques in minimally invasive spine surgery are recognized for their potential to enhance surgical precision, minimize intraoperative complications, and improve clinical outcomes. A significant advantage of robotics in oblique lateral interbody fusion (OLIF) is the capability to perform single-position surgery, allowing simultaneous anterior and posterior procedures without the need to reposition the patient. Methods: A retrospective review of 25 consecutive patients who underwent robotic-navigated single-position OLIF spine surgery was performed. Data collected included back and leg pain scores (VAS), screw placement accuracy, operative time, estimated blood loss, postoperative length of stay, and surgical complications. Results: In total, 116 screws were placed robotically in 25 patients, with a mean age of 62.2±8.9 years. Diagnoses included grade 1 (10 patients) or grade 2 (7 patients) spondylolisthesis and degenerative disc disease (8 patients). The mean operative time from incision to closure was 101.2 ± 7.2 minutes, with an estimated intraoperative blood loss of 90.0±16.6 ml. VAS scores for leg and back pain improved from preoperative to six months postoperative (from 3.6 to 1 for leg pain and 5.3 to 1 for back pain). Two major vein complications and one retrograde ejaculation. Conclusion: Single-position OLIF shows promising results, with robotic guidance offering substantial benefits, including reduced bleeding, fewer surgical complications, and shorter operative times, all without flipping the patient. Robotic assistance in OLIF holds great potential and broad application prospects in spine surgery.
Keywords: Robotic-assisted, OLIF, Minimal invasive surgery, Single position, Surgical technique
Received: 25 Feb 2025; Accepted: 11 Jun 2025.
Copyright: © 2025 Rizki Gatam, Gatam, Ajiantoro, Luthfi, Phedy, Mahadhipta, Husin, Gani, Mitchel and Kholinne. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Erica Kholinne, Department of Orthopedics, Gatam Institute, Tangerang, Indonesia
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