Robotic Surgery

New Mazor robotic guidance system helps Panama City Spine further improve minimally invasive spine surgery in 2017

What does a robot have to do with spine surgery? Actually this is the latest and most impressive advance in spine surgery that greatly improves the precision of spine surgery, according to Dr. Michael Rohan, Jr., a fellowship-trained spine surgeon, and one of the first spine surgeons to use the new technology in Northwest Florida and Florida Gulf Coast region.

The Mazor surgical robotic guidance system creates pinpoint precision throughout the spine surgery, which increases accuracy and favorable clinical outcomes, explains Dr. Rohan, Jr. "This highly advanced robotic system has been used in thousands of spinal procedures worldwide, including spinal implants,” says Dr. Rohan Jr.

Dr. Rohan maintains the Mazor robotic technology is especially beneficial for complex spine surgeries. "The intuitive interface can plan operations in a virtual 3D environment, which creates a surgical blueprint for better accuracy,” he explains. “The surgeon maintains full control during surgery. The robotic guidance system simply guides the surgeon to the optimal entry point and the precise trajectories needed during the surgery. Because much of the work is done before surgery with the robotic system developing a surgical plan for ideal location of screw placement, less time is needed in the Operating Room. This reduces time under fluoroscopy for the patient and the OR staff.

Dr. Rohan is a leading innovator in spine surgery using Mazor Robotics and is one of a few spine surgeons in Northwest Florida using Mazor robotic technology. He notes that the new robotic guidance system is ideally suited for minimally invasive spine surgery. "Smaller incisions can pose a challenge to surgeons with less direct line-of-vision and intra-operative X-rays may be used to compensate for this,” he says. “Robotic guidance systems are simply the next evolution in the trend toward smaller incisions that provide great benefit to the patient.”

Dr. Rohan, Jr. notes that many patients are unaware that many older spine surgeons are still using traditional open spine surgery with 3-inch incisions. The training involved to operate through a half-inch incision and tubular retractors is significant and many older surgeons are reluctant to commit to the necessary training in the end of their career, even though there is significant benefit to the patient from a tiny incision, including less blood loss, faster recovery with less pain.

The Mazor robotic technology makes use of new technology that provides more precise guidance to the spine surgeon during spine surgery for placement of fixation screws.

To date, Mazor cites thousands of cases performed to date worldwide with the system, and tens of thousands of screws placed using the guidance system. Benefits of the Mazor Robotic spine surgery system include:

  • Reduced time under fluoroscopy with less exposure to the patient, surgeon and OR staff;
  • 1.5mm accuracy in screw placement;
  • When compared to traditional “freehand spine surgery” clinical studies showed an increased accuracy of 98.3% in spine procedures and implant positioning;
  • Shorter surgery times;
  • May reduce post-op pain and recovery time;
  • May reduce length of stay in hospital

Patient can find out if they are a candidate for minimally invasive spine surgery and Robotic guidance by calling Panama City Spine for a consultation, at 850-481-8752.


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Dr. Michael Rohan, Jr. is fellowship-trained in spine surgery, the highest level of medical education in the U.S. Consequently, Panama City Spine is referred back and neck pain patients from across the Gulf Coast who can benefit from the most advanced minimally invasive spine surgery and artificial disc replacement surgery.

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