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27 Apr 2024 5:34 am AEST Date Time
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MARKING CANADIAN FIRST: ROBOTIC-ASSISTED SPINAL SURGERY



Chronic back pain affects nearly eight million Canadians and is a condition that
can become quite debilitating. For Dave Meyn, a clinical neuroscience patient at
London Health Sciences Centre (LHSC), chronic back pain led to sciatica in his
right leg and extreme pain in his lower back.

"It was very debilitating, to the point that the shooting pain in my right leg
caused me to stumble and fall," Meyn said. "It was difficult to live with and
started to negatively affect my day-to-day life."

After many visits with his family doctor, chiropractors and massage therapists,
Meyn turned to LHSC and became the first patient in Canada to receive a
robotic-assisted surgery on his spine, called a direct lateral spine surgery,
using the MazorX Spinal Robot.

Schulich School of Medicine & Dentistry funded the original cost of the robot
for research purposes, before transferring the equipment to LHSC for clinical
use.







"Usually, we would do this surgery from the back, which means the patient would
lie on their stomach," said Dr. Victor Yang, LHSC neurosurgeon and Schulich
Medicine & Dentistry professor in the department of clinical neurological
sciences.

Because Meyn needed surgery in two spots on his spine, the surgical team was
able to use this new robotic technology to perform a minimally invasive surgery
from the side, what's known as a direct lateral spinal surgery.



"Performing a surgery from this position can be quite challenging, but with the
robot, it allows us to virtually see where the bone is within the patient's
body, and then the robot maintains the trajectory we need and guides us towards
the right direction," Yang said.

"This meant we were able to perform two minimally invasive surgeries at once
without having to also reposition the patient."

Eliminating a second surgery also led to decreased surgical time and a faster
recovery, meaning Meyn was able to go home in just a number of days.

"When I woke up from the surgery, the sciatica pain in my leg was immediately
gone. It was amazing," Meyn said. "The surgery definitely did its job."

The clinical neurosciences team at LHSC, which includes members from vascular
surgery and neuroanesthesia, has successfully performed six minimally invasive
surgical spinal procedures using this state-of-the-art technology.


> "I THINK THE USE OF ROBOTIC ASSISTANCE WILL BECOME MORE COMMON FOR THIS TYPE
> OF PROCEDURE AS IT PROVIDES MORE CONSISTENCY AND, IN GENERAL, BETTER OUTCOMES
> AND CARE." – DR. VICTOR YANG, NEUROSURGEON AND SCHULICH MEDICINE & DENTISTRY
> PROFESSOR

For Meyn, it was an honour to be the first in Canada to receive this surgery,
but what is even more exciting is what this means for his future.

"I am excited to get back to my everyday life and some of the things I enjoy and
also have a summer that is not full of pain, but rather freedom to do the things
I want."


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Tags: health , university , research , technology , shooting , London , medicine
, Canada , surgery , future , Professor , chronic , stomach , Western University
, outcomes , neurosciences , vascular surgery , family doctor


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