Exoscope-assisted spine surgery: Current applications and future directions.

Autor:	Ferreira T; Department of Clinical Neurosciences, School of Clinical Medicine, University of Cambridge, Cambridge, UK., Roy S; School of Medicine, Queen's University Belfast, Belfast, UK., Tan JK; University of St Andrews, St. Andrews, Scotland, UK., Awuah WA; Sumy State University, Sumy, Ukraine., Shet V; Bangalore Medical College and Research Institute, India., Adebusoye FT; Sumy State University, Sumy, Ukraine., Aderinto N; Internal Medicine Department, Lautech Teaching Hospital, Oyo, Nigeria., Abdul-Rahman T; Sumy State University, Sumy, Ukraine.
Jazyk:	angličtina
Zdroj:	World neurosurgery: X [World Neurosurg X] 2024 Mar 08; Vol. 23, pp. 100335. Date of Electronic Publication: 2024 Mar 08 (Print Publication: 2024).
DOI:	10.1016/j.wnsx.2024.100335
Abstrakt:	Spine surgery is continually evolving, with the application of new technologies often serving as a catalyst for improved clinical outcomes. Exoscope-assisted spinal surgery has recently emerged as a notable technological advancement offering a refined approach to visualisation, thereby potentially contributing to improved surgical precision, reduced complication rates, and optimised patient outcomes. The application of exoscopes have improved spine surgeries such as spinal fusion procedures, decompression surgeries, instrumentation surgeries, minimally invasive and complex surgeries. These improvements include enhanced visualisation, improved ergonomics, improved surgical precision, reduced operation times and postoperative infection rates. The integration of robotics in exoscope-assisted spine surgery enables autofocus function, ensuring the integrity of the sterile field, providing superior image quality, resolution, and three-dimensional perception. However, challenges such as decrease in depth perception and the lack of long-term follow-up data hinder its widespread adoption. Ethical considerations regarding patient safety, technology dependency, and health inequity add another dimension to these challenges. Despite these challenges, exoscope-assisted spine surgery holds significant potential for transforming clinical practice and improving patient outcomes. This review seeks to provide a concise overview of the benefits and limits of exoscope-assisted spine surgeries, while highlighting its challenges and ethical considerations. Addressing these limitations by conducting large-scale clinical trials and exploring the integration of artificial intelligence (AI) could assist in realising the potential of exoscopes in spine surgery." Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors.)
Databáze:	MEDLINE
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