Article ; Online: Implementation of Robotic Exoscope in Minimally Invasive Corpectomy at Thoracolumbar Junction for the Treatment of Traumatic Spinal Cord Compression.
2024 Volume 184, Page(s) 23–28
Abstract: The development and diffusion of minimally invasive (MI) approaches have coincided with improvements in magnification systems. The exoscope will probably open a new era in new technologies in spinal surgery. This study reports a retrospective series of ... ...
Abstract | The development and diffusion of minimally invasive (MI) approaches have coincided with improvements in magnification systems. The exoscope will probably open a new era in new technologies in spinal surgery. This study reports a retrospective series of 19 thoracolumbar (T11-L2) burst fractures with anterior column failure and cord compression, treated with MI corpectomy and spinal decompression assisted by a three-dimensional high-definition exoscope (Video 1). Exclusion criteria were pathologic or osteoporotic fractures, multilevel fractures, and previous surgery at the site of the fracture. Three key indicators were recorded: surgical time, blood loss, and intraoperative complications. A questionnaire was administered to assess the users' exoscope experience with ergonomics, preparation, magnification, image definition, illumination, and user-friendliness, compared with the operative microscope. To the best of our knowledge, this is the first study reporting on exoscope-assisted MI corpectomy. This procedure permitted low blood loss and less surgical time without intraoperative complications. The exoscope offers clear advantages in terms of ergonomics, definition, and user-friendliness. Moreover, it is a suitable instrument for training and education, providing an opportunity for better interaction with other members of the surgical staff. |
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MeSH term(s) | Humans ; Spinal Cord Compression/etiology ; Spinal Cord Compression/surgery ; Retrospective Studies ; Robotic Surgical Procedures ; Neurosurgical Procedures/methods ; Spinal Fractures/surgery ; Intraoperative Complications/surgery ; Lumbar Vertebrae/surgery ; Lumbar Vertebrae/injuries ; Minimally Invasive Surgical Procedures/methods ; Thoracic Vertebrae/surgery ; Thoracic Vertebrae/injuries |
Language | English |
Publishing date | 2024-01-05 |
Publishing country | United States |
Document type | Video-Audio Media |
ZDB-ID | 2534351-8 |
ISSN | 1878-8769 ; 1878-8750 |
ISSN (online) | 1878-8769 |
ISSN | 1878-8750 |
DOI | 10.1016/j.wneu.2023.12.163 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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