Exoscope-assisted spine surgery: Current applications and future directions–A short review

Spine surgery is a critical field that seeks to alleviate pain and restore function in patients with various spinal pathologies. Over the years, spine surgery has seen advancements such as minimally invasive techniques with operative microscopes and robotic surgeries. These techniques, however, dema...

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Main Authors: Tomas Ferreira, Sakshi Roy, Joecelyn Kirani Tan, Wireko Andrew Awuah, Vallabh Shet, Favour Tope Adebusoye, Adrenito Nicolas, Toufik Abdul-Rahman
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:World Neurosurgery: X
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590139724001479
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author Tomas Ferreira
Sakshi Roy
Joecelyn Kirani Tan
Wireko Andrew Awuah
Vallabh Shet
Favour Tope Adebusoye
Adrenito Nicolas
Toufik Abdul-Rahman
author_facet Tomas Ferreira
Sakshi Roy
Joecelyn Kirani Tan
Wireko Andrew Awuah
Vallabh Shet
Favour Tope Adebusoye
Adrenito Nicolas
Toufik Abdul-Rahman
author_sort Tomas Ferreira
collection DOAJ
description Spine surgery is a critical field that seeks to alleviate pain and restore function in patients with various spinal pathologies. Over the years, spine surgery has seen advancements such as minimally invasive techniques with operative microscopes and robotic surgeries. These techniques, however, demand better visualisation during the procedure. Recently, exoscope-assisted spine surgery has emerged as a promising technological advancement that may revolutionise the field due to its ability to facilitate precise and advanced visualisation techniques that ensure successful outcomes in spine surgeries. 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.
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spelling doaj-art-2e8d1f4bc13646178feccb270e91cacf2025-02-10T04:34:50ZengElsevierWorld Neurosurgery: X2590-13972025-01-0125100416Exoscope-assisted spine surgery: Current applications and future directions–A short reviewTomas Ferreira0Sakshi Roy1Joecelyn Kirani Tan2Wireko Andrew Awuah3Vallabh Shet4Favour Tope Adebusoye5Adrenito Nicolas6Toufik Abdul-Rahman7Department of Clinical Neurosciences, School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom; Corresponding author.School of Medicine, Queen's University Belfast, Belfast, United KingdomFaculty of Medicine, University of St Andrews, St. Andrews, Scotland, United KingdomFaculty of Medicine, Sumy State University, Sumy, UkraineFaculty of Medicine, Bangalore Medical College and Research Institute, IndiaFaculty of Medicine, Sumy State University, Sumy, UkraineInternal Medicine Department, Lautech Teaching Hospital, Oyo, NigeriaFaculty of Medicine, Sumy State University, Sumy, UkraineSpine surgery is a critical field that seeks to alleviate pain and restore function in patients with various spinal pathologies. Over the years, spine surgery has seen advancements such as minimally invasive techniques with operative microscopes and robotic surgeries. These techniques, however, demand better visualisation during the procedure. Recently, exoscope-assisted spine surgery has emerged as a promising technological advancement that may revolutionise the field due to its ability to facilitate precise and advanced visualisation techniques that ensure successful outcomes in spine surgeries. 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.http://www.sciencedirect.com/science/article/pii/S2590139724001479Exoscope-assisted spine surgeryMinimally invasive spine surgeryNeurosurgeryRobotics spine surgery
spellingShingle Tomas Ferreira
Sakshi Roy
Joecelyn Kirani Tan
Wireko Andrew Awuah
Vallabh Shet
Favour Tope Adebusoye
Adrenito Nicolas
Toufik Abdul-Rahman
Exoscope-assisted spine surgery: Current applications and future directions–A short review
World Neurosurgery: X
Exoscope-assisted spine surgery
Minimally invasive spine surgery
Neurosurgery
Robotics spine surgery
title Exoscope-assisted spine surgery: Current applications and future directions–A short review
title_full Exoscope-assisted spine surgery: Current applications and future directions–A short review
title_fullStr Exoscope-assisted spine surgery: Current applications and future directions–A short review
title_full_unstemmed Exoscope-assisted spine surgery: Current applications and future directions–A short review
title_short Exoscope-assisted spine surgery: Current applications and future directions–A short review
title_sort exoscope assisted spine surgery current applications and future directions a short review
topic Exoscope-assisted spine surgery
Minimally invasive spine surgery
Neurosurgery
Robotics spine surgery
url http://www.sciencedirect.com/science/article/pii/S2590139724001479
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