• Zhao Lang, Qilong Wang, Xinfeng Wu, Yajun Liu, Da He, Mingxing Fan, Zhan Shi, and Wei Tian.
• Department of Spine Surgery, Beijing Ji Shui Tan Hospital, Beijing, China.
• Spine. 2021 Jul 15; 46 (14): E760E768E760-E768.

Study DesignAn experimental investigation of a robot-assisted ultrasonic osteotome applied to vertebral cancellous bone.ObjectiveThe aim of this study was to investigate the effect of various ultrasonic parameter settings on temperature in the drilling site and penetration time and determine the most suitable parameters for efficient and safe robot-based ultrasonically assisted bone drilling in spinal surgery.Summary Of Background DataA robot-assisted ultrasonic osteotome device may be safe and effective for spinal drilling.MethodsSixty specimens of bovine vertebral cancellous were randomly assigned to one of six groups, which varied by mode of ultrasonic vibration (L-T and L) and feed rate (one percent [0.8 mm/s], two percent [1.6 mm/s], and three pecent [2.4 mm/s]). Maximum temperature in the drilling site and penetration time was recorded.ResultsMaximum temperature in the drilling site decreased as output power increased for L-T and L modes, was significantly lower for L-T compared to L mode at each feed rate and power setting, was significantly different at feed rates of 1.6 mm/s versus 0.8 mm/s and 2.4 mm/s versus 0.8 mm/s for L-T mode at an output power of 60 W and 84 W, but was not influenced by feed rate for L mode. Penetration time did not significantly improve as output power increased for both L-T and L modes, was significantly decreased with increased feed rates, but was not significantly different between L-T and L modes.ConclusionThe optimal parameters for applying a robot-assisted ultrasonic osteotome to vertebral cancellous bone are L-T mode, maximum output power of 120 W, and maximum feed rate of 2.4 mm/s.Level of Evidence: 4.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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