Surgical robotic system

A method of performing spinal surgery on a subject, comprising:

• laying a subject in a lateral position on an operating table;
• providing a robotic surgical system having an operating envelope that can enable a surgical tool to reach both the lateral side of the subject and the posterior spinal position, the robotic surgical system comprising:
• a base for fixing the robotic surgical system relative to the operating table;
• an end actuator for enabling alignment of a surgical tool;
• a set of robotically actuated arms connected between the base and the end actuator, the set comprising:
• a first section connected at an end to the base;
• and
• a second section connected to the first section remotely from the end, and having the end actuator at an end region remote from the second section connection to the first section;
• and
• a coupling point between the first section and the second section, adapted to be attached to a part of the subject's anatomy through a connection element;
• wherein the first section is configured to have a predetermined level of mechanical rigidity less than that of the second section;
• performing a robotic Lateral Interbody Fusion procedure on the subject laying in the lateral position;
• and
• directing the robotic surgical system to perform a percutaneous posterior spinal procedure,
• wherein both of the procedures are performed without a need to move the subject.

A robotic surgical system comprising:

• a base of a robot located in a fixed position relative to an operating table;
• a controlled activating arm of the robot, adapted to enable alignment of a surgical tool for performing a surgical procedure;
• and
• a point of a attachment of the robot, adapted to be attached by means of a connection element to a part of an anatomy of a subject on the operating table, the point of attachment also supporting the controlled activating arm and being attached to the base by means of at least one robotic element,
• wherein the at least one robotic element has a predetermined level of mechanical flexibility greater that of the controlled activating arm, the predetermined level of mechanical flexibility providing the point of attachment with a range of free motion.