By Jed S. Vanichkachorn, MD, MBA, MSHA
Tuckahoe Orthopaedics is committed to promoting spinal health, improving the lives of patients, and avoiding surgery whenever possible. That’s why our doctors constantly seek out new, better ways of treating patients. Dr. Jed Vanichkachorn found and tested a robotic mechanism called the Renaissance Guidance System and knew it was perfect for the patients of Tuckahoe Orthopaedics. Below, we’ll explore what it does and the benefits it brings to the table.
About the Renaissance Guidance System
The Renaissance system is comprised of three parts. The wheeled system has a workstation area for doctors and techs, a guidance unit that moves in many different ways to take images with 100-micron accuracy, and 3D pre-planning software compatible with the workstation or a laptop. In a spinal surgery application, Renaissance offers navigation to help surgeons with a combination of inter-operative computers and imaging. It is the first truly robotic tool used in spinal surgery and it guides the surgeon for the placement of medical screws and other instrumentation. It is possible to see the exact location in need of instrumentation to make placement more accurate.
Uses of the Renaissance Guidance System
While procedures to correct nerve damage due to disc compression are still done without robotic assistance, Renaissance is used in any surgery that requires fusion and screw or cement implementation. This includes scoliosis surgery, lumbar fusion, and other procedures that require instrumentation to the spine.
Benefits of the Renaissance Guidance System
Prior to the introduction of this robotic technology, the above spinal surgeries would be done using live x-ray and freehand surgery. This method comes with a 10% risk of misplaced instrumentation and 3-4% risk of neurological injury. Renaissance has a 99% accuracy rate with no reported neurological injuries. Additionally, surgery without Renaissance requires live X-rays and result in the patient and staff experiencing prolonged radiation. Renaissance combines a low dose preoperative CT scan with just two intraoperative images, and the robot puts the guide where it needs to be to perform accurate surgery. This is the first navigation system to provide more accuracy than the freehand method.
The Renaissance Guidance System makes it truly possible for our surgeons to perform minimally invasive spinal surgery that results in shorter recovery time. Because less muscle dissection is required, patients will experience less recovery pain as well.
Dr. Van recently spoke to WTVR in Richmond about this great new technology. Click for the video.