VSI Spine Surgeon Dr. Christopher Good has reached a groundbreaking milestone in robotic spine surgery by performing the world’s first minimally invasive robotic Bertolotti’s resection at Reston Hospital Center, part of the HCA Virginia Health System. This pioneering procedure offers a new surgical solution for patients suffering from chronic low back pain caused by Bertolotti syndrome, a frequently underdiagnosed spinal condition affecting an estimated four to eight percent of the population. Traditionally, resection surgery for this condition involves large incisions and significant disruption to surrounding tissues to reach the deeply positioned transitional bone. Dr. Good’s approach replaces these invasive methods with a precisely planned, robot-assisted procedure that minimizes surgical impact.
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Using advanced preoperative computerized planning, Dr. Good carefully mapped the exact angles and trajectories required for each bone cut prior to entering the operating room. This plan allowed for robotic guidance through a single 22-millimeter minimally invasive incision, enabling the targeted removal of the problematic bone while preserving surrounding muscles and soft tissue. The precision of the robotic system reduces the trauma typically associated with this type of surgery and supports a faster, smoother recovery for patients.
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“As the world’s leading center for Bertolotti surgery and robotic spine surgery, VSI is committed to advancing the field,” said Dr. Good. “This innovation demonstrates our focus on providing modern treatment options, safer care, and improved recovery experiences for our patients.” His work builds on prior research, including his leadership as lead author on the first scientific study validating robotic bone-cutting in minimally invasive spine procedures, which laid the groundwork for this achievement.
Patients undergoing this robotic procedure benefit from less postoperative pain, minimal blood loss, faster mobility, and shorter hospital stays compared with traditional surgery. The small incision and reduced tissue disruption contribute to these advantages and offer a more comfortable recovery process.
Dr. Good added, “Performing this procedure robotically shows what is possible when innovation is guided by patient needs. As surgical technology continues to advance, we can treat even the most complex spinal conditions with greater precision, less disruption, and a more positive healing experience.”
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