State-of-the-Art Medical Technology and a Highly Skilled Surgeon Bring Tampa Bay a Revolutionary Approach to Minimally Invasive Spine Surgery

Dr. Samuel Joseph, founder of the Joseph Spine Institute (JSI) of Tampa Bay, performs the Tampa Bay area’s first Robotic Endoscopically Assisted Percutaneous Outpatient Spinal Fusion at Memorial Hospital of Tampa. This method allows access to the disk, nerves and bones of the spine.

The areas first combined Endoscopic and Robotic-Guided Spine Surgery patient was discharged within one hour of the procedure, instead of the usual 2 – 4 day hospital stay that is usually required with a standard Spinal Fusion procedure. The patient left with only a few tiny scars, 1 – 2 centimeters in length, in comparison to the large scars patients had to live with in the past.

“Together they (Endoscopic and Robotic technology) compliment each other in the perfect package for revolutionizing how spine surgery is done,” states Dr. Joseph. “I am honored to bring this new procedure, combined technology and innovative products to Tampa Bay. At JSI we are dedicated to partnering with the innovators of spine medicine in order to offer our patients the most advanced spine care.”

Partnering with the innovators of cutting edge spine medicine allows JSI to provide our patients with the advantages of next-generation technology that enhances safety and allows for better patient outcomes. Combining these innovative technologies reduces procedure and recovery time as well as offer the following benefits:

  • Pre-operative planning and improved surgical accuracy
  • Smaller incision and less risk of infection
  • Decreased intra-operative radiation
  • Less anesthesia and shorter hospital stay
  • Improved patient safety
  • Reduced post-operative pain and recovery time 

Dr. Joseph utilized the joimax® endoscope which allows direct visualization of the compressed nerve with the ability to remove the pressure and disk through a 1 cm incision. The endoscope (high-resolution camera) provides optimal visualization of the surgical field in HD quality. The endoscope allows the operation to be performed with minimal trauma to any surrounding tissue, as muscles, ligaments and tendons need not be disrupted.

After disc removal and decompression Dr. Joseph utilized Mazor X robot guided technology for improved accuracy, less soft tissue damage and less radiation exposure for the patient.

The percutaneous approach is made possible by this technology as well as special expandable cage by Spinal Elements and the most low profile screws available by MiRus. MiRus has developed MoRe®, a proprietary molybdenum rhenium superalloy for medical implants, to provide an unprecedented combination of strength, ductility, durability, and biological safety that is unmatched by current materials.

About Joseph Spine Institute

Joseph Spine Institute is the advanced center for spine, scoliosis and minimally invasive spine surgery. Founded by Dr. Samuel A. Joseph, Jr., a fellowship trained, board-certified orthopedic surgeon. Dr. Joseph has assembled a comprehensive team of highly skilled spine specialists that are devoted to offering the highest level of spine care available today. He has also strategically partnered with some of the most innovative leaders in the spine care industry today in order to bring our patients the latest in technology, products and resources.

From state-of-the-art technology, to alternate therapies and interventional pain management treatments our industry leading spine care practice offers our patients a comprehensive, multidisciplinary approach to diagnosis, treatment and rehabilitation of spinal conditions. Our highly-trained surgeons offer an integrated approach to patients that includes surgical and non-surgical options such as pain management and physical therapy. 

New Technologies and Outpatient Spine Care Make High-Quality Spine Procedures More Cost Efficient

The increased usage of new (often minimally invasive) techniques have allowed existing and new procedures to be performed safely and effectively with outpatients procedures at a much lower cost. Minimally invasive procedures, as opposed to open procedures, mean patients are no longer required to stay overnight in hospitals.

There are a number of ways outpatient surgeries and procedures are helpful for patients as well as medical professionals. Outpatient surgeries are in many ways easier for patients, and there are also inherent benefits for doctors and care centers.  

Convenience of Outpatient Spine Procedures

The most obvious benefit associated with outpatient surgery and other procedures is that it can be easier and more comfortable for patients and their families. A hospital can be an intimidating setting for some individuals, where as undergoing a small operation at a physician’s office or other facility may be preferable. This also is beneficial because it allows patients to recover at their own home, which  can be beneficial to children who worry about their parents away from home.

The physicians will also have much more flexibility in scheduling an outpatient procedure performed in the office or a surgery center.

Cost Savings For Spine Patients

Another major consideration for these types of operations is the enormous potential for cutting costs. Patients do not face room charges at a hospital, and some insurance companies have more lenient coverage for outpatient procedures. According to Becker’s Healthcare, there are tremendous savings associated with outpatient surgeries when compared to the same procedure in a standard facility. For example, patients who underwent outpatient lumbar spine surgery in 2014 saved $320 on average, while across the board these operations cost $8,475 less than they would have at a regular OR.

If you would like to learn more about the orthopedic surgical procedures available at our outpatient surgery centers, please contact us at Joseph Spine and one of our team members will be happy to answer any questions that you may have.

About Joseph Spine

Joseph Spine is an advanced center for spine, scoliosis and minimally invasive surgery. Founded by Dr. Samuel A. Joseph, a fellowship trained, board certified orthopedic surgeon. His practice includes the specialized, conservative, and surgical care of patients. Treatment includes therapeutic injections, disc replacement surgery, minimally invasive techniques, and complex reconstruction of adult and pediatric spinal disorders. Dr. Joseph is also among a select group of surgeons to offer cutting edge regenerative injection therapy.

Robotic Assisted Minimally Invasive Spine Surgery

In this blog post Dr. Joseph will review how minimally invasive spine surgery using Mazor X robotic technology can help people who are diagnosed with serious spine problems or complications that have not responded to medication, physical therapy or spinal injections.

Bringing State of the Art Spine Technology to Tampa Bay

Joseph Spine brings this state-of-the-art technology to our patients and offers a transformative leap forward in spinal surgery. Mazor X maximizes surgical predictability and allows surgeons to achieve greater precision for optimal patient benefit.

As with other robotic surgical devices, Mazor X does not perform actual surgeries. Instead it provides surgeons with information and anatomical images of the patient’s spine. In the operating room using Mazor X robotic-assisted technology, the blueprint guides surgeons through the operation with more accuracy and efficiency.
Mazor X incudes three integrated processes – Planning, Guidance, Verification – to assure greater predictability and precision during your procedure.

Mazor X Surgical Assurance Platform

The Core of the Surgical Assurance Platform is an innovative set of planning and guidance tools indicated for implant and instrument positioning in spine surgery.

Stage 1 – Planning Robotic Assisted Spine Surgery

The Mazor X system’s 3D planning software is used to create a comprehensive surgical plan as part of a total patient treatment strategy.

A pre-op CT scan of the patient is uploaded to the Mazor X software for planning and then two fluoro shots are taken intra-operatively to register.
A Mazor X Scan & Plan procedure utilizes an intra-op 3D imaging system, such as Medtronic’s O-arm, eliminating the need for a intra-op CT.

Stage 2 – Operate with Mazor X

The Mazor X Surgical System is attached to both the OR bed and the patient. With the surgeon in full control, the Surgical Arm guides the tools according to the surgical plan.
The Surgical Arm’s reach and range of motion allows for posterior instrumentation from a variety of different trajectories. Minimally-invasive spine surgery using Mazor X robotic technology can help people who are diagnosed with serious spine problems or complications that have not responded to medication, physical therapy or spinal injections.

Conditions include:

  • Vertebral fractures
  • Traumatic spine injury
  • Degenerative disc disease
  • Spinal weakness or instability
  • “Slipped disc” (Spondylolisthesis)
  • Narrowing of spinal canal (Stenosis)
  • Adult degenerative spinal deformity (Scoliosis, kyphosis)
  • Revision Surgeries

Patients with these conditions often suffer with debilitating symptoms like:

  • Low back pain
  • Leg pain
  • Sciatica
  • Uneven legs, hips or shoulders
  • Abnormal gait
  • Breathing difficulties when the rib cage puts pressure on the lungs
  • The benefits of robotic spine surgery

Compared to traditional spine surgery, Mazor X robotic technology can:

  •  Increase surgical accuracy and help preserve surrounding healthy tissue
  • Allow surgeons to more accurately place hardware during the procedure, thus lowering the risk of complications
  • Reduce the risk of exposure to radiation from imaging scans
  • Improve recovery time due to less time in the operating room and while under anesthesia
  • Reduce pain after the surgery for a quicker return to daily activities

To learn more about Mazor X or to schedule an appointment, contact our office or request an appointment online at

State-of-the-Art Robotic Assisted Spine Surgery Now Offered by Dr. Samuel Joseph of Joseph Spine Center in Tampa Florida

Tampa, FL November 9, 2017 – Dr. Samuel Joseph, founder of Joseph Spine, will be one of a select group of spine surgeons globally that now offers minimally invasive spine surgery through the Mazor X Robotics Guidance System.

This next generation, revolutionary technology enables Dr. Joseph to perform safer and more accurate spine surgeries. For our patients, this means better clinical outcomes with less pain and fewer complications, enabling a faster recovery and return to daily activities.

Planning and Implantation of Robotic Assisted Spine Surgery

Surgical treatment of the spine requires planning and precision, and each patient’s anatomy has unique challenges. Surgery with Mazor X Robotics’ guidance system enables Dr. Joseph to plan ahead before entering the operating room. During surgery, it guides him according to the preoperative plan that was created.

Dr. Joseph will use this advanced 3D planning software before surgery to create a unique surgical blueprint, which is the ideal surgery for each patient’s condition. During surgery, Dr. Joseph does the actual work; the Mazor X Robotics systems guides his tools according to the surgical blueprint to place the implants safely, and with the highest level of accuracy in the exact preplanned locations. And since there is no need for additional X-rays during surgery, there is less exposure to radiation than with other surgical treatments.

Benefits to Dr. Joseph’s Spine Patients

Mazor X Robotics Guidance System is transforming spine surgery by advancing surgical techniques from freehand methods to state-of-the-art, minimally invasive guided procedures. Minimally-invasive surgery with Mazor X Robotics technology offers the following benefits to patients:

  1. Increases accuracy
  2. Lowers complication rates
  3. Reduces postoperative pain
  4. Enables faster recovery and return to daily activities

How safe is this technology?

The Mazor X Robotics Guidance System is powered by Mazor X Robotics clinically proven technology — used in thousands of surgeries worldwide, including placement of tens of thousands of implants. Like all Mazor X Robotics systems, it strictly adheres to international standards and has received FDA clearance in the USA and the European CE Mark.