Convincing findings in the cost efficiency of robotic spine surgery. Learn more about Minimally Invasive Spine Surgery in Dr. Anthony Leone’s Knowledge Center.
Studies published within the last five years have uncovered some interesting findings related to minimally invasive robotic spine surgery. Patients reported less blood loss overall than the traditional surgery group. The traditional surgery patients often had much longer hospital stays, leaving the minimally invasive patients with significantly lower hospital bills. Hospital stay time for minimally invasive patients was more than halved.
Additional studies revealed that patients who underwent minimally invasive surgery were in the operating room for less time overall. Because of this, hospital costs were also lower than those who underwent traditional surgery.
Another study investigated the effectiveness of minimally invasive surgery performed on the sacroiliac joint. Studies reported five-year gains in quality of life versus patients who either didn’t have any surgery.
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The SI joint or sacroiliac joint is located next to the bottom of the spine, connecting the triangular bone called the sacrum to the pelvis. it is not entirely understood how this pain manifests but it’s theorized that a change in the normal movement of the sacroiliac joint leads to this symptom. Pain associated with the SI joint is often experienced in the lower back and hip region.
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The presence of activity in the sacroiliac joints and in the spinal column on bone scans may help with the diagnosis of ankylosing spondylitis. Nuclear imaging is an effective screening tool to identify occult fractures in ankylosing spondylitis and should be considered early in the assessment of patients with this disease who sustain even minor trauma.¹
¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.
Spinal complications, deformities, and spinal surgical information can be found here, in Dr. Leone’s Knowledge Center.
Sacroiliitis is the hallmark of AS, which is strongly associated with HLA-B27, the spinal involvement will exhibit nonmarginal syndesmophytes with squaring of the vertebral bodies and may progress to autofusion or a “bamboo” spine deformity. This condition can lead to kyphotic deformities at any level of the spine and predispose the patient to fracture, often through the calcified disc space, even after seemingly innocuous treatment.¹
¹Garfin MD, Steven. Orthopaedic Knowledge Update : Spine. Rosemont: American Academy of Orthopaedic Surgeons, 1997.
The sacroiliac (SI) joint is another potential source of low back pain. Patients with SI joint pain will often note discomfort while rising from a sedated position. This pain resolves initially with ambulation, but returns with any prolonged activity. The pain may radiate to the upper calf or around the hip and into the groin area, and is often accompanied by trochanteric bursitis.
¹Abitbol MD, Jean-Jacques. Orthopaedic Knowledge Update: Spine. Rosemont: American Academy of Orthopaedic Surgeons, 2002.