Embracing Innovation

High Screw Accuracy

The system’s robotic navigation and imaging modalities demonstrated a high percutaneous lumbar pedicle screw placement accuracy when used in a robot-assisted surgery (RAS) setting. A study examining the use of robotic-assisted navigation for pedicle screw placement found that navigated robotic guidance achieved a successful pedicle screw placement rate of 98.8%, with no instances of the need to return to the operating room for screw-related complications.²

² Huntsman KT et al. Robotic-assisted navigated minimally invasive pedicle screw placement in the first 100 cases at a single institution. J Robot Surg. 2020; 14(1): 199-203.

Less Radiation Exposure

Reduced radiation exposure in MIS surgery is indirectly accomplished through the use of real-time information with ExcelsiusGPS^™ during screw placement, which eliminates the need for additional fluoroscopy throughout the procedure compared to 2D and 3D fluoroscopy-based navigation. One cadaveric study that evaluated surgical time, accuracy, and radiation exposure of robotic-assisted navigation systems found that robotic-assisted navigation decreases radiation exposure by requiring no fluoroscopic images to be taken compared with conventional MIS and open techniques.¹

MIS Proficiency

Surgeons can verify operative planning and receive real-time navigation feedback throughout the procedure. One cadaveric study that evaluated surgical time, accuracy, and radiation exposure of robotic-assisted navigation systems describes how the use of robotic-assisted navigation significantly decreased screw placement time.¹

¹ Vaccaro AR et al. Assessment of surgical procedural time, pedicle screw accuracy, and clinician radiation exposure of a novel robotic navigation system compared with conventional open and percutaneous free hand techniques: a cadaveric investigation. Global Spine J. 2020; 10(7): 814-825.

Decreased Procedural Time

The system’s pre-planning features help to reduce overall operative time for a streamlined workflow. In a cadaveric study that evaluated surgical time, accuracy, and radiation exposure of robotic-assisted navigation systems found that the pre-planning features reduced overall operative time in robotic vs. conventional MIS techniques.¹

Easy Learning Curve

The system’s intuitive and simple user interface is designed to help minimize the learning curve in the OR. One study analyzing the accuracy of pedicle screw placement between an attending surgeon and resident found that both resident and attending surgeon placed pedicle screws successfully under navigated robot guidance.³

³ Vardiman AB et al. Does the accuracy of pedicle screw placement differ between the attending surgeon and resident in navigated robotic-assisted minimally invasive spine surgery? J Robot Surg. 2020; 14(4): 567-572.

Increased Lead Accuracy

The system’s pre-planning features and rigid robotic arm allow surgeons fewer opportunities for human error in obtaining planned trajectories. In a cadaveric analysis of ExcelsiusGPS^™ for stereotactic cranial neurosurgery compared to a traditional ARC technique, the ExcelsiusGPS^™ technique resulted in greater accuracy in lead placement.⁴

Less Time per Lead

The system’s robotic navigation and imaging workflows offer significantly reduced overall lead placement time for a streamlined procedure as compared to the ARC technique. In a cadaveric analysis of ExcelsiusGPS^™ for stereotactic cranial neurosurgery compared to a traditional ARC technique, ExcelsiusGPS^™ robotic navigation and imaging workflows were shown to offer significantly reduced lead placement time.⁴

⁴ Ponce F et al. Evaluation of ExcelsiusGPS® for stereotactic cranial neurosurgery compared to a traditional head frame technique: a cadaveric investigation of accuracy, time, and radiation. White Paper GMWP66 Globus Medical, 2022.

Decreased Procedural Time

ExcelsiusGPS^™ utilizes fewer procedural steps compared to traditional head frame techniques. In a cadaveric analysis of ExcelsiusGPS^™ for stereotactic cranial neurosurgery compared to a traditional ARC technique, ExcelsiusGPS^™ was found to require less time for lead placement.⁴