Navigation-assisted full-endoscopic spine surgery: a technical note

Shin, Yasushi; Sunada, Hiromu; Shiraishi, Yoshito; Hosokawa, Makoto; Koh, Yumi; Tei, Rinsei; Aketa, Shuta; Motoyama, Yasushi; Yonezawa, Taiji; Nakase, Hiroyuki

doi:10.21037/jss-2019-fess-19

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…Their patient cohort was comprised of 17 patients that underwent lumbar surgery and six patients who had a cervical spine procedure. The authors reported high-quality clinical outcomes without surgical complications [ 50 ]. Nonetheless, there is a lack of literature comparing the relative effectiveness of navigation within endoscopic spine surgery against nonnavigated procedures [ 1 ].…”

Section: Available Navigation Technologies and Their Application To E...mentioning

confidence: 99%

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Navigation Techniques in Endoscopic Spine Surgery

Hagan

Remacle

Leary

et al. 2022

BioMed Research International

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Endoscopic spine surgery (ESS) advances the principles of minimally invasive surgery, including minor collateral tissue damage, reduced blood loss, and faster recovery times. ESS allows for direct access to the spine through small incisions and direct visualization of spinal pathology via an endoscope. While this technique has many applications, there is a steep learning curve when adopting ESS into a surgeon’s practice. Two types of navigation, optical and electromagnetic, may allow for widespread utilization of ESS by engendering improved orientation to surgical anatomy and reduced complication rates. The present review discusses these two available navigation technologies and their application in endoscopic procedures by providing case examples. Furthermore, we report on the future directions of navigation within the discipline of ESS.

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Section: Available Navigation Technologies and Their Application To E...mentioning

confidence: 99%

“…Presently, only case reports [49] and small case series [50][51][52][53] have been published on the feasibility of CAN within ESS. Shin et al (2020) reported 23 patients who underwent ESS using a hybrid approach employing multiaxis robotic C-arm with an image-guided navigation system.…”

Section: Utility Of Navigation Technologies In Endoscopic Spinementioning

confidence: 99%

Navigation Techniques in Endoscopic Spine Surgery

Hagan

Remacle

Leary

et al. 2022

BioMed Research International

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“…It therefore stands to reason that combining this technology with ESS may be beneficial. For example, surgeons can use navigated instruments to guide them to the spine and to assess the extent of their decompression [4,12,13] . Furthermore, navigation may be of additional benefit in the revision setting where commonly used anatomic landmarks are distorted or absent.…”

Section: Three-dimensional Computed Tomography Navigationmentioning

confidence: 99%

Navigation, mixed reality, and robotics in endoscopic spine surgery

Derman¹,

Satin²

2022

MIS

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Endoscopic spine surgery (ESS) is an ultra-minimally invasive technique through which spinal pathology can be addressed via sub-centimeter incisions with negligible soft tissue disruption. However, concerns exist regarding the steep learning curve, operative time, and radiation exposure to the surgical team. The use of intraoperative navigation, mixed reality, and robotics in the setting of ESS is currently being explored, and the early evidence suggests that such technologies may help mitigate these issues. The application of these technologies in ESS as well as the associated literature is reviewed herein.

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“…However, the introduction of navigation in the prepsoas approach by DiGiorgio et al 4 substantially decreased the risk of neural element injury and compensates for the unusual oblique angle that might be unfamiliar to some spine surgeons. Combining navigation with endoscopic spine surgery is not uncommon, and it can further decrease the risk of nerve injury 6 while making the optimal approach trajectory more easily achievable. Despite the favorable safety profile, the risk of durotomy cannot be excluded.…”

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confidence: 99%