Robotic Technology Is Transforming Spinal Surgery at Trinity Health Ann Arbor

Q: The spinal cord is one of the human body’s most sensitive structures. When did your team start incorporating robotic technology in your surgeries?

James Brodkey, MD: Robot-assisted surgery first gained traction in specialties like general surgery, gynecology, and orthopedics. The spine, however, is one of the most complex and delicate structures, making it a far greater challenge. It took years of innovation for robotic technology to evolve and meet the precision required for these very demanding and complicated procedures. Our team began using robotic assistance several years ago. We now use these every day at Trinity Health Ann Arbor because we see the elevated outcomes that they help us deliver. We have full trust in them, and so do our patients.

Q: How does the robotic system work during a procedure?

James Brodkey, MD: Just to be clear, the robot is a tool, just like a hammer is a tool. What makes the hammer effective is the training and experience of the person swinging it. And the same goes for the robot. The robots are surgeon-operated, meaning my hands are behind the controls. The robotic platform is a highly precise mechanical arm that is integrated with advanced computer software. It uses real-time imaging of the patient, so when I point the robot towards a location that I want it to go, we know exactly where to place the instrument and make the incision. On a live video screen, I see the trajectory and position of the hardware, such as screws or cages, before inserting them. And as capable as my hands are, the arm of the robot, at my direction, is superior, making the movement extremely precise.

Q: What are some of the common conditions you and your team treat using the robotic surgical system?

James Brodkey, MD: Robotic spine surgery is most useful for correcting degenerative conditions of the spine like disc herniation, spinal stenosis and spinal instability. We also use it to treat scoliosis and to repair spinal fractures. Robotic surgery represents a major advancement in spine care, allowing us to perform complex procedures with unmatched accuracy and confidence.

Q: What are some of the other benefits of robotic-assisted surgery compared to traditional methods?

James Brodkey, MD: At the risk of being repetitive, precision, precision, precision. The precision our robot offers me as a surgeon empowers me to deliver many benefits to my patients. These are minimally invasive procedures, meaning there are smaller incisions and less manipulation of the anatomy, which leads to less blood loss, less scarring and faster recoveries post-operation. Since the incisions are smaller and more accurate, it also reduces the risk of complications such as infections and lowers the risk of a patient requiring a follow-up procedure. 
 

All that being said, not every patient is a good candidate for robotic spinal cord surgery. The decision ultimately depends on the patient’s specific condition and what the surgical goals are. My team and I meet with each patient and customize the best approach for them and their condition to ensure they receive the best care possible.

Q: You and your team recently performed the 1,000th spinal cord surgery using the Globus robot. How do you feel knowing your team reached that number?

James Brodkey, MD: This was a significant milestone not only for myself, but the entire team at Trinity Health Ann Arbor. It represents years of dedication to advancing patient care through technology. Every case is about precision and safety, and this achievement goes to show just how much trust our patients have placed in us and this technology. For our patients, it should give them confidence knowing that my team and I are very experienced and that if needed, we can bring the world’s most advanced robotic capabilities to address their spinal cord condition.

Q: Is there anything else you want people to know?

James Brodkey, MD: While there is a lot of interest in surgical capabilities, its important to remember that just because you see a neurosurgeon for a spine condition does not mean surgery is in your future. Surgery is always the last resort. My goal is to exhaust every other option before considering the operating room. If it comes down to needing a procedure, choosing robot-assisted surgery at Trinity Health Ann Arbor means choosing a team that puts your health and comfort first. We are committed to clear communication, compassionate care and personalized treatment plans for each patient that comes to see us.
 

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