Robotic Spine Surgery

Overview

Robotic spine surgery uses advanced robotic guidance systems to plan and execute spinal procedures with sub-millimeter accuracy. Dr. Basques is one of New England's leaders in robotic spine surgery and performed Rhode Island's first Mazor X robotic procedure. The robot does not operate independently — Dr. Basques controls every aspect of the surgery. Rather, the robot serves as a sophisticated navigation tool, providing real-time 3D guidance that enables precise placement of spinal implants (pedicle screws, interbody cages) while minimizing surgical exposure. The result is smaller incisions, less tissue disruption, reduced complication rates, and faster recovery compared to traditional freehand techniques.

How It Works

Before surgery, Dr. Basques uses the patient's CT scan to create a detailed 3D surgical blueprint, planning the exact size, trajectory, and position of each implant. In the operating room, the Mazor X robot registers the patient's actual anatomy to this preoperative plan using intraoperative imaging. The robotic arm then guides Dr. Basques to the precise trajectory for each screw or implant — achieving accuracy within 1–2 millimeters. Dr. Basques places all implants through small incisions using real-time feedback. The robot enhances precision but does not replace surgical judgment; every step is surgeon-controlled.

Benefits

Who Is a Candidate?

Robotic assistance can benefit most patients undergoing spinal fusion or instrumentation, especially those with complex anatomy (spinal deformity, scoliosis, revision surgery), multi-level procedures, or patients who want the most precise, least invasive approach. Dr. Basques determines candidacy based on each patient's specific condition, anatomy, and surgical goals.

Recovery & Aftercare

Because robotic surgery enables smaller incisions with less muscle disruption, patients typically experience less post-operative pain, shorter hospital stays, and faster return to activities compared to traditional open surgery. Most fusion patients go home within 1–2 days. Return to desk work within 2–4 weeks, with physical activity resuming gradually over 6–12 weeks depending on the procedure.

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