Robotic Guidance System

United Regional has added another advanced surgical technology for use in minimally invasive and more complex spine surgeries.

Surgery of the spine requires planning and precision, and each patient’s anatomy has unique challenges. Surgery with the robotic surgical guidance system allows neurosurgeons to plan ahead before entering the operating room.


Neurosurgeons use the advanced 3D planning software before surgery to create a unique surgical blueprint, which is the ideal surgery for each patient’s condition. During surgery, the neurosurgeon does the actual work but the neurosurgeon’s tools are guided, according to the surgical blueprint, to place the implants safely and with the highest level of accuracy in the exact preplanned locations. In fact, the robotics technology has been clinically validated to ensure 1.5mm accuracy for increased patient safety compared to freehand spine surgery. And since there is no need for additional X-rays during surgery, with Renaissance™ there is less exposure to radiation than with other surgical treatments.


This robotic surgical guidance system is not independent and does not cut or perform any action on the body. Only the neurosurgeon performs the required procedures such as placing implants. The neurosurgeon is in full control of the system at all times.


“We found this robotic surgical guidance system to be safer and more accurate for minimally-invasive technology for spine procedures,” adds Dr. John Reeves, neurosurgeon at United Regional. “Its advantages are notable in a wide variety of clinical applications, from minimally-invasive procedures to complex spinal deformity correction.”

What should a patient expect before surgery?

Before surgery

• A patient will have CT images taken of his or her spine in preparation for the procedure.

• The neurosurgeon will use the advanced 3D planning software with the patient’s CT images to create a unique surgical blueprint, which is the ideal surgery for that patient’s condition. This also provides increased safety and precision since it allows the neurosurgeon to plan ahead, before entering the operating room.

The day of surgery

• In the operating room, two fluoroscopy (low-dose X-ray) images will be taken of the patient’s spine, from the back and from the side.

• These images are merged together with the previous CT images by the technology’s advanced 3D planning software, creating a unique 3D surgical blueprint to guide the neurosurgeon according to the personalized preoperative surgical blueprint.

• The neurosurgeon will then dispatch the guidance system in succession to each anatomical site planned on the preoperative surgical blueprint, working on each one to complete the operation with the greatest accuracy and safety.