[R01] A Biomechanics-aware Image-guided Surgical Robotic Framework For Spatial Spinal Fixation Using a Steerable Drilling Robot and Flexible Pedicle Screws
Ente: National Institute of Biomedical Imaging and Bioengineering
Scadenza: 2030-05-31
Importo max: 581.518 EUR
Paese: US
Descrizione
Summary/Abstract:
Our goal is to develop a novel semi/autonomous, minimally-invasive, image-guided neurosurgical robotic
workstation that consists of (i) a biomechanics-aware design and planning module, (ii) a robotic positioning
mechanism integrated with a unique sensorized steerable drilling robot, and (iii) a novel flexible pedicle screw
(FPS) to enable the next generation of minimally invasive spinal fixation interventions. In this workstation, a
surgeon first uses Quantitative Computed Tomography (QCT) scans of a patient to map spatial bone mineral
density of the vertebra and perform pre-operative biomechanical analysis and surgical planning. Next, they can
intuitively and accurately control the developed steerable drilling robotic system via an autonomous or semi-
autonomous mode to execute this plan in real-time and implant flexible pedicle screws in the drilled tunnels. By
providing spatial access to the regions within vertebral body, which are not currently accessible utilizing
conventional rigid surgical instruments, this neurosurgical robotic workstation enables the next generation of
spinal fixation called Spatial Spinal Fixation (SSF) for various bone defects in spine such as compression on
the spinal cord and/or nerve roots, metastatic bone disease, and vertebral compression fractures due to severe
osteoporosis.
Spinal fixation (SF) is one of the standard procedures performed by the spine and orthopedic surgeons. SF
is an effective treatment option for a wide range of spinal disorders such as stabilization of vertebral compression
fractures, scoliosis, and disk disease. Since the 1990s, rates of SF procedures in the United States have
substantially increased. For example, over 500,000 SF operations were performed in 2018 in the US, with a
mean patient age of 54.2 years and a mean cost of 7K-$78K per operation (totaling
Settori: National Institute of Biomedical Imaging and Bioengineering
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