Exoscope Efficacy and Feasibility in Pediatric Spinal Neurosurgery: A Single-Institution Cohort Case Series.

Autor: Cunningham CM; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Nawabi N; College of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Saway BF; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA. Electronic address: saway@musc.edu., Sowlat MM; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Pereira MP; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Hubbard ZS; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Lajthia OM; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Porto G; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Patel S; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Kosnik-Infinger L; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA., Eskandari R; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Mar; Vol. 183, pp. e314-e320. Date of Electronic Publication: 2023 Dec 22.
DOI: 10.1016/j.wneu.2023.12.090
Abstrakt: Background: The exoscope has emerged as an efficacious microscope in adult spinal neurosurgery providing improved operative field visibility and surgeon ergonomics. However, outcome data and feasibility are underrepresented in the pediatric literature. We present the largest case series aimed at assessing operative and clinical outcomes in pediatric patients undergoing various exoscope-assisted spinal surgeries.
Methods: A retrospective review was conducted on all consecutive pediatric (age <18 years) spinal surgeries performed with the use of an exoscope by 3 senior surgeons at a single institution from 2020-2023. Demographics and clinical and operative outcomes were reviewed and analyzed.
Results: Ninety-six exoscope-assisted pediatric spine surgeries were performed on 89 unique patients, 41 (42.7%) of which were male. The mean age at surgery was 12 (±5.3) years. Spinal cord detethering (55.8%) was the most common procedure performed. The overall mean operative time for all procedures was 155 (±86) minutes, and the mean estimated blood loss was 18 (±41) mL. The mean length of stay was 5.4 (±6.5) days. There were 14 (14.6%) patients with complications in this cohort. At final follow-up, 64 (83.1%) of symptomatic patients reported neurologic symptom improvement.
Conclusions: Using the exoscope in a variety of pediatric spinal surgeries resulted in an acceptable average operative time, estimated blood loss, length of stay, and rate of neurologic symptom improvement. The exoscope appears to be an efficacious option for pediatric neurosurgical spinal procedures.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: