Baptist Health expands use of robotic spine surgery
February 5, 2014 | Jacksonville, FL
Baptist Medical Center Jacksonville recently purchased a second robotics system for spinal surgery.
The Renaissance system, developed by Mazor Robotics, allows Baptist Health to treat patients with more complex spinal deformities, such as those with severe scoliosis and other conditions.Baptist Medical Center Jacksonville has the only Mazor Renaissance Robotic technology between Atlanta and Orlando. The hospital is the only single hospital in the U.S. that has two systems, according to Mazor representatives. Another hospital system outside Florida has two systems but at different sites.
Andrew F. Cannestra, MD, PhD, a neurosurgeon with Lyerly Neurosurgery at Baptist Medical Center Jacksonville and director of Robot Spine Surgery at Baptist Medical Center Jacksonville, said the robot allows surgery to be conducted with a third of the amount of radiation exposure than a traditional surgery.
“The robot allows us to be that much more minimally invasive and that much more accurate,” said Dr. Cannestra, who also performed the first surgery at Baptist with the initial robot last May. “The robot also allows us to place larger screws so we can apply more forces on the spine, more accurately and get a better correction of the spine.”
A preoperative blueprint of a surgery is created with the Renaissance system’s software using CT-based 3D images of the patient’s spine to help guide the surgeon to the exact location where intervention is needed. During the procedure, two fluoroscopic images are taken and automatically synchronized with the CT-based surgical blueprint so that tools are guided to the area of concern.The robot technology can be used to help with various spine conditions such as deformities; short/long fusions; fractures; reconstructive spine surgery; degenerative disc disease and herniated disc.The new technology has also been used for bilateral deep brain stimulation for Parkinson’s Disease. Baptist Jacksonville was the first site with the Mazor technology in the U.S. to do such a procedure using the technology and the second hospital in the U.S. to do any type of brain procedure with the Mazor robot, according to Mazor officials. Future use may also include tumor biopsies and tumor resections of the brain and additional spine applications.
Advantages of the minimally-invasive spinal surgery include increased safety and precision; less radiation; smaller incisions and scars; less blood loss; shorter hospital stay; less postoperative pain; less need for postoperative pain medicine and faster return to work and daily activities.
Bonnie Wilson, 61, of Jacksonville, had the surgery with Dr. Cannestra to correct scoliosis in May. She was first diagnosed with scoliosis when she was 22. Wilson, a dental hygienist and instructor at Florida State College, has suffered from pain and had previously been through physical therapy, minor surgical procedures and pain management therapy. “It just kept getting more and more painful,” Wilson said. “I was concerned because I know how the curve was getting worse and I was worried that as I aged my back would become even more of a problem. I also got to the point where I couldn’t stand it anymore. I couldn’t sleep or sit for any period of time. I couldn’t ride in the car very long and I couldn’t work very much.” She was pleased with the robotic surgery because she said it was a much quicker recovery and smaller scars. After two months, she saw considerable improvement and by six months she was back to doing housework, yard work, driving long distances and walking her dog about two to three miles a day.
“When I look at myself now in the mirror or wear something fitted, I look completely straight. The only way you would know that I had any curve at all is to look at an X-ray,” Wilson said.The other doctors using the Mazor Renaissance robot, include Lyerly neurosurgeons Javier Garcia-Bengochea, MD, Paulo Monteiro, MD, Michael J. Petr, MD, PhD, and Bradley A. Wallace, MD, PhD. Jacksonville Orthopaedic Institute surgeons Gregory Keller, MD, and Brandon Kambach, MD, are also using the robot. To schedule an assessment and learn more about Renaissance Robotics call 904.202.CARE (2273).
About Baptist Health
Baptist Health is a faith-based, mission-driven system in Northeast Florida comprised of Baptist Medical Center Jacksonville; Baptist Medical Center Beaches; Baptist Medical Center Nassau; Baptist Medical Center South; and Wolfson Children’s Hospital – the region’s only children’s hospital. All Baptist Health hospitals, along with Baptist Home Health Care, have achieved Magnet™ status for excellence in patient care. Baptist Health includes the area’s only dedicated heart hospital; a comprehensive cancer center; orthopaedic institute; women’s services; neurosciences, including neurosurgery and two Joint Commission-certified stroke centers; a Bariatric Center of Excellence; a full range of psychology and psychiatry services; outpatient facilities; urgent care services; and primary and specialty care physicians’ offices throughout Northeast Florida. Recently opened facilities include the J. Wayne and Delores Barr Weaver Tower and Baptist Clay Medical Campus. For more details, visit baptistjax.com.