ArticleJournal of robotic surgery2022
Cirq robotic arm-assisted transpedicular instrumentation with intraoperative navigation: technical note and case series with 714 thoracolumbar screws.
Article in Journal of robotic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Impact of surgeon experience on the safety and accuracy of robot-assisted vs. navigation-guided percutaneous pedicle screw placement: a matched cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Robotic-Assisted Spinal Instrumentation from C1 to S1 Experience of a UK Neurosurgical Tertiary Referral Centre.Journal of clinical medicine · 2026Article
- Robot-assisted spinal surgery: technological maturity, clinical evidence, and future directions.Frontiers in robotics and AI · 2026Review
- Clinical experiences and accuracy of stereoelectroencephalography using the robotic arm Cirq.Acta neurochirurgica · 2025Article
- A surgeon-controlled mode of robotic assistance with posterolateral approach helps achieve highly medialized cervical pedicle screw placement to avoid vertebral artery injury.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- A General Framework for Characterizing Inaccuracy in Stereotactic Systems.Operative neurosurgery (Hagerstown, Md.) · 2025Review
- Precision and effort in robot-assisted placement of pedicle screws compared to standard surgical navigation.Scientific reports · 2024Article
- Hybrid-3D robotic suite in spine and trauma surgery - experiences in 210 patients.Journal of orthopaedic surgery and research · 2024Article
- Navigation-Guided/Robot-Assisted Spinal Surgery: A Review Article.Neurospine · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Cirq is a surgeon-controlled robotic arm that provides a new technique for accurately placing transpedicular screws. This report aims to present a technical report and our experience with this new robotic arm combined with intraoperative navigation. Technique and workflow using the Cirq robotic arm with intraoperative navigation is described. A retrospective review was conducted of all patients undergoing elective open thoracic/lumbar fusion surgery by a single surgeon in the first year of using the novel Cirq robotic arm. Descriptive analysis of patient and operative variables was performed. A total of 84 patients underwent placement of a total 714 transpedicular screws using the Cirq robotic arm. Most (69.1%) underwent 3-6 level fusion procedures. Mean operative time was 198 min total and 28 min when adjusted per screw. There was a learning curve with operative time per screw decreasing from 32 to 25 min from the first to second half of cases (p = 0.057). There were no intraoperative screw revisions and 2.4% (2/84) required instrumentation revision and return to the operating room. The Cirq robotic arm is seamlessly incorporated into the workflow of a transpedicular fusion. Our experience with over 700 pedicle screw placements using the Cirq robot demonstrates efficacy and safety although further comparative studies are needed.
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