Saint Agnes performs 1st spine surgery in Central Valley using Mako 4 robotic systemSaint Agnes Medical Center says it has become the first hospital in the Central Valley to perform spine surgery using the Mako 4. Saint Agnes Medical Center says it has become the first hospital in the Central Valley to perform spine surgery using the Mako 4. Saint Agnes Medical Center says it has become the first hospital in the Central Valley to perform spine surgery using the Mako 4. Saint Agnes Medical Center says it has become the first hospital in the Central Valley to perform spine surgery using the Mako 4. FRESNO, Calif. (KFSN) -- Saint Agnes Medical Center says it has become the first hospital in the Central Valley to perform spine surgery using the Mako 4, an advanced orthopedic robotic surgical system.