Advanced Technologies for
Outpatient Lumbar Fusion: Barriers and Opportunities.
Int J Spine Surg 2022;
16:S37-S43. [PMID:
35831061 PMCID:
PMC9808792 DOI:
10.14444/8275]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND
In recent years, there has been increasing interest in outpatient spine surgery. Minimally invasive techniques have created an opportunity for ambulatory lumbar fusion, and these techniques increasingly involve advanced technologies such as navigation and robotics.
OBJECTIVE
To explore the barriers, advantages, and future predictions for such technology in the context of outpatient lumbar fusions.
METHODS
This is a narrative review of studies examining the advantages, limitations, and cost-effectiveness of navigation and spinal robotics in conjunction with the outcomes and costs of outpatient lumbar fusion.
RESULTS
Outpatient lumbar fusion is a growing trend with ample evidence of its safety, favorable patient outcomes, and cost savings. Navigation and spinal robotics are associated with improved instrumentation accuracy and fewer complications, and the long-term cost savings can make these technologies financially practical in the outpatient setting. Future capabilities with robotics will only increase their value.
CONCLUSIONS
Advanced technologies such as navigation and robotics are strategic long-term investments in the context of outpatient lumbar fusion.
CLINICAL RELEVANCE
The favorable outcomes and costs associated with navigation and robotics will be relevant to any spine surgeon interested in developing an outpatient lumbar fusion program.
LEVEL OF EVIDENCE: 5
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