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Spine surgery using the Globus Excelsius GPS computer-assisted robotic device in 2024 | Booking Health

Spine surgery using the Globus Excelsius GPS computer-assisted robotic device

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Herniated discs in the lumbar spine, spinal injuries, and other conditions may require surgery to stabilize the spinal column. Spine surgery is complex and unsafe for patients. You should take advantage of the services of the best spine surgeons to get reliable results and avoid complications. If you have any spinal injuries, you can have your treatment in Germany.

A surgical system with the Excelsius GPS navigation platform is used for spine surgery in Germany. This system allows for the insertion of screws into the spine using minimally invasive techniques, very precisely, and with virtually no health risks. You are always welcome to visit the Booking Health website to select the most suitable Center for Spine Surgery in Germany, find out prices, and make your treatment appointment for your preferred dates. The Booking Health specialists will help you find a clinic specializing in spine surgery in Germany that uses the Excelsius GPS system and will take care of all your travel arrangements.

Content

  1. Why do the Centers for Spine Surgery in Germany use the Excelsius GPS system?
  2. What is the Globus Excelsius GPS?
  3. Benefits of Excelsius GPS robotic surgery
  4. The cost of spine surgery in Germany

Why do the Centers for Spine Surgery in Germany use the Excelsius GPS system?

 

The use of transpedicular screws has remained the gold standard for the fixation of the lumbar vertebrae and vertebrae of other regions of the spine since the technique was introduced in the 1970s. The procedure is used to treat spinal injuries, herniated discs, spinal stenosis, and various spinal column curvatures.

Despite all the advantages of this method of spine stabilization, the incorrect placement of transpedicular screws may result in serious damage to blood vessels and nerve structures.

The accuracy of screw placement under imaging guidance is quite high. However, when it comes to health, most patients want to avoid even minimal risks. Efforts to improve clinical outcomes and make transpedicular screw placement safer have led to the introduction of robotic spine surgery. Several robotic surgical systems have already been developed for minimally invasive spine surgery, such as the ROSA Spine Robot, the Mazor X, and the TiRobot. Advanced hospitals in Germany use one of the most precise systems for computer-assisted spine surgery, the Globus Excelsius GPS.

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What is the Globus Excelsius GPS?

 

The Globus Excelsius GPS system (Globus Medical, Inc., Audubon, Pennsylvania, USA) was introduced in 2017. It is the first robotic navigation platform for spine surgery with real-time instrument tracking, which allows for transpedicular screw placement without any transverse spokes (guides).

The robot is attached to a floor-mounted base station rather than the operating table. The robotic navigation platform is compatible with a variety of intraoperative 2D and 3D imaging methods. It can combine preoperative computed tomography with intraoperative fluoroscopic imaging.

For spine surgery, intraoperative CT is considered the preferred imaging method to facilitate workflow, although the robotic surgical system can also use preoperative CT information for navigation.

The robotic arm of the device is rigid enough to withstand a deflection of less than 1 mm when subjected to lateral forces of up to 200 N, and excessive lateral force can be detected using a unique sensor not found in other robotic systems. The modular robotic arm allows additional tools to be attached.

Spine surgery using the Globus Excelsius GPS computer-assisted robotic device

Benefits of Excelsius GPS robotic surgery

 

Many patients prefer to have their treatment in Germany. This country has sufficient resources to enable hospitals in Germany to afford the best robotic systems for minimally invasive spine surgery. For this reason, many hospitals in Germany use the Excelsius GPS. You can benefit from treatment in Germany with excellent surgical results for herniated discs, spinal injuries, scoliosis, spinal oncology, and other conditions affecting the lumbar spine and other regions of the spine.

Although screws can be placed manually using navigation systems, robot-assisted lumbar spine surgery with robotic navigation offers a variety of advantages.

During a "manual" operation, spine surgery relies on fine motor skills to manipulate in tight spaces, especially when inserting transpedicular screws for herniated discs or after spinal injuries. These manipulations are technically and physically difficult. Surgeons become tired, which can reduce the accuracy and efficiency of the operation.

Spine surgery in Germany benefits from the use of the Globus Excelsius GPS. The robotic navigation platform provides the following:

  • Reduced fatigue for the surgeon
  • Reduced tremor (shaking hands)
  • Instrument stability due to the fixed working angle
  • Increased accuracy and precision of the surgical procedure

The accuracy of transpedicular screw placement using various robotic surgical systems ranges from 91% to 98%, while the accuracy using the Excelsius GPS robot has been estimated by various authors to be 96.6%-100% (Ram K. Alluri, 2021).

The placement of screws with robotic navigation reduces damage to the proximal facets, thereby lowering the risk of adjacent segment disease, a common cause of unsatisfactory clinical outcomes in spine surgery.

Since robotic surgery in Germany and throughout the world for spinal operations is a relatively new medical field and modern robots have only recently been developed, most of the medical benefits of using these systems are theoretical and have yet to be proven through years of practice. However, several studies and meta-analyses have already demonstrated the superiority of robotic surgery over classical surgical techniques.

The main evidence is as follows:

  • Studies by Xiaofeng L and Fan Y demonstrated higher accuracy with robot-assisted screw placement
  • The superiority of the robotic technique in accuracy was also demonstrated in a high quality meta-analysis by Li HM
  • Studies by Laudato PA and Roser F showed higher accuracy with robotic techniques compared to 3D navigation
  • A recent meta-analysis by Staartjes VE showed a lower risk of intraoperative and postoperative screw revision with robotic devices

The cost of spine surgery in Germany

 

As the price of the Excelsius GPS system amounts to about 1 million US dollars, the cost of surgery in Germany increases if the surgery is performed with the robotic surgical system. You are always welcome to visit the Booking Health website to find out information about the current prices for treatment in Germany at various hospitals in Germany.

Despite the higher cost of medical services, spine surgery in Germany is still in demand among residents of countries with a poor level of medicine. Limited resources do not allow most countries to introduce new technologies everywhere.

Below are the benefits of surgery in Germany:

  • Highly experienced spinal surgeons
  • Minimal health risks
  • State-of-the-art equipment, including the Excelsius GPS robotic systems
  • Very precise screw placement
  • High-quality postoperative care
  • Adequate pain relief and symptomatic treatment
  • Low risk of repeated surgery
  • Low risk of disease in the adjacent segments
  • Good clinical results without any back pain, with the preservation of spinal stability
  • After the completion of treatment in Germany, patients can undergo rehabilitation to ensure that they regain their ability to work and return to an active lifestyle

If you are looking for a hospital in Germany that performs robotic spine surgery, you can find a suitable center for surgery in Germany on the Booking Health website. On our website, you can find out the cost of robotic spine surgery at various hospitals in Germany, compare prices, choose the most suitable Center for Spine Surgery in Germany, and make your treatment appointment for the nearest available date.

Globus robotic spine surgery in Germany is minimally invasive, effective, and safe for your health. Do not hesitate to take this opportunity to solve your spine problems with the world's best doctors.

When you make an appointment for your spine treatment in Germany through Booking Health, you can expect the cost of treatment to be lower compared to directly contacting the department of spine surgery in Germany. Medical services will cost less due to the absence of additional fees for foreign patients.

Booking Health will provide you with high-quality services to organize your trip to a hospital in Germany. We will contact the hospital administration, schedule an appointment for your preferred dates, shorten the waiting time for surgery, help you prepare documents, and make reservations for a hotel room and airline tickets. Our staff will meet you at the airport and take you to the hospital in Germany. Once your treatment and rehabilitation are complete, we will take care of your return transfer. We will provide assistance and support throughout your stay abroad.

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Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

Our editorial policy, which details our commitment to accuracy and transparency, is available here. Click this link to review our policies.

 

Sources:

Sage journals

MedNexus

National Library of Medicine

ScienceDirect

 

Read:

Features and Benefits of Spinal Treatment in Germany

Groundbreaking techniques for herniated disc treatment

Minimally invasive surgery: treatment of spinal disc herniation in Germany

Safe and effective spinal surgery in Germany