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Virginia Spine Institute Surgeons Perform World’s First Combined Endoscopic & Robot-Guided Surgery

Authored by Dr. Colin Haines, MD, Dr. Christopher Good, MD, FACS. November 14, 2018


The World’s First Combined Endoscopic and Robotic-Guided Spine Surgery is Performed by Surgeons at Virginia Spine Institute

Dr. Colin Haines and Dr. Christopher Good, Spine Surgeons at Virginia Spine Institute, utilize state-of-the-art technology to perform breakthrough minimally invasive robotic-guided spinal fusion with endoscopic decompression.

Reston, VA, Nov. 14, 2018 (GLOBE NEWSWIRE) —  Dr. Colin Haines and Dr. Christopher Good, Spine Surgeons at Virginia Spine Institute, perform the world’s first spinal surgery using combined endoscopic and robot-guided technology. The inaugural procedure was conceived by this team of experts out of a need to modernize a traditional spinal fusion with endoscopic decompression. The combination of the state-of-the-art technologies reduces procedure time and creates a more efficient surgical solution with 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

After suffering with severe low back pain for nearly 40 years, the patient was diagnosed with isthmic spondylolisthesis and symptomatic stenosis, and first underwent a minimally invasive anterior lumbar interbody fusion (ALIF). The procedure was followed by a minimally invasive posterior surgery where Dr. Haines and Dr. Good utilized the joimax® endoscope through a less than 1cm incision to perform a foraminotomy to eliminate pressure on the spinal nerves. The endoscope (high-resolution camera) allowed for access to the nerves with magnification while sparing muscle and tissue disruption. After decompression of the nerves, the surgeons utilized Mazor X™ robot guidance technology to perform a minimally invasive instrumentation and fusion to stabilize the unstable spondylolisthesis.

“Achieving this milestone in spinal healthcare sets a new benchmark focused on improving patient outcomes,” says Dr. Colin Haines, Spine Surgeon and Director of Research at Virginia Spine Institute. “Combining these technologies opens the door to treating more complex spinal conditions through less invasive surgical approaches.”

“Our research has shown that procedures performed with Robotic Guidance utilizing Mazor Core Technology™ improve safety for patients having spine surgery and decrease radiation to patients in the operating room,” says Dr. Christopher Good, Spine Surgeon and President of Virginia Spine Institute. “We are proud to lead the next chapter of advancements that utilize technology and surgical skill to more efficiently facilitate spinal procedures.”


As the industry leader for over 25 years, Virginia Spine Institute has improved the lives of over 85,000 patients suffering from back or neck conditions. This spinal healthcare destination provides a unique concierge approach and utilizes revolutionary medical advances in non-operative procedures, regenerative medicine, pain management, physical therapy, and surgical intervention.

Dr. Colin Haines is a board certified spine surgeon and the Director of Research at Virginia Spine Institute. Dr. Haines performed the world’s first combined endoscopic and robot-guided spine surgery. His patient success has earned him a national feature on The Today Show and WebMD, and Top Doctor recognition in consecutive years. Learn more about Dr. Haines.

Dr. Christopher Good
is a double board certified spine surgeon and the President of Virginia Spine Institute. Established as a world expert in the field, Dr. Good has pioneered the use of robotics, navigation, and augmented reality (AR) in spine surgery. He performed the first two-level disc replacement in Metro DC, Maryland, and Virginia region, and continues to evolve motion-enhancing procedures for patients suffering from neck and back conditions. Dr. Good has been named “Top Doctor” consistently over the past decade.  Learn more about Dr. Christopher Good.

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