Implantation of Pedicle Screws with Mazor Robotics-Renaissance to Drill the Way and Nerve Monitoring with Electrophysiological During the Whole Procedure: The Spine Surgery Team Completed An Extremely Complicated Surgery for A Patient Diagnosed of Severe Degenerative Scoliosis with Spinal Canal Decompression

  Recently, the team of Fu Qiang, director of the Second Department of Spine (North campus) of Shanghai General Hospital, in collaboration with the Department of Neurology, Department of Cardiology, Department of Anesthesiology and the nursing team at the operating room, used the Mazor robotics-Renaissance and intraoperative electrophysiological monitoring technology with the concept of "intelligence+minimally invasive+monitoring" to perform an extremely complicated surgery for a patient with severe degenerative scoliosis and spinal canal stenosis. They performed an "one-stage" surgery combining scoliosis correction and spinal canal decompression for an elderly patient with severe scoliosis and spinal canal stenosis.

  In order to minimize the risk of the surgery, the spine team organized a multidisciplinary treatment (MDT) including the neurology, cardiology, and anesthesiology departments, and such experts of the multidisciplinary team fully assessed the severity of scoliosis and neurological function. "The Mazor robotics-Renaissance was used to assist the implantation of pedicle screws and correction of scoliosis. Additionally, intraoperative electrophysiological monitoring technology was used to monitor the patient's nerve function in real time. Therefore, the surgery was performed with the concept of "intelligent + minimally invasive + monitoring" to ensure the maximum surgical outcomes and patient safety.

  Professor Qiang Fu led the team to perform the complicated scoliosis correction and spinal decompression surgery. The surgery was successfully completed in 2 hours, followed by patient awake with normal movement of both lower limbs. Operation time was shortened by 50% compared to conventional surgery with assistance of Mazor robotics and electrophysiological monitoring. Moreover, intraoperative bleeding was reduced by approximate 1000 ml compared to conventional surgery.

                                  Correspondents: Qiang Fu, Song Guo