Department of Neurosurgery, Pennsylvania Hospital, Philadelphia, PA, USA.
Department of Neurosurgery, Pennsylvania Hospital, Philadelphia, PA, USA.
World Neurosurg. 2020 Jun;138:369-373. doi: 10.1016/j.wneu.2020.03.073. Epub 2020 Mar 19.
In a standard surgical operating room, advanced imaging is projected on a separate monitor screen away from the surgical field of view. This setup requires surgeons to repeatedly shift their attention between the operative field and a screen. Such movement may result in a disruption of focus that can extend surgical time, cause physical strain, and lead to surgical errors. A potential solution to this inefficiency in the surgical workflow is to use a heads-up display (HUD) to mirror what is being displayed. A HUD projects preoperative or intraoperative imaging over the surgical field, allowing surgeons to visualize both as they perform surgery.
We performed a single-level arthroplasty for a patient with right-sided disc herniation at C6-7. A HUD was used by the lead surgeon to continuously view intraoperative X-rays without needing to repeatedly turn away from the surgical field while placing Caspar pins into the C6 and C7 vertebral bodies, and malleating trials and the artificial disc into the disc space.
Following surgery, the patient experienced resolution of his preoperative right arm and hand paresthesia and regained full strength. This case describes the novel use of the Moverio BT-35E Smart Glasses (Epson Inc, Suwa, Japan) HUD during a spine procedure.
在标准手术室内，先进的成像技术被投射到远离手术视野的单独显示器屏幕上。这种设置要求外科医生在手术视野和屏幕之间反复转移注意力。这种移动可能会导致注意力分散，从而延长手术时间、造成身体疲劳，并导致手术失误。解决手术流程中这种效率低下问题的一种潜在方法是使用抬头显示器 (HUD) 来镜像显示内容。HUD 将术前或术中成像投射到手术区域上方，使外科医生在进行手术时可以同时看到两者。
我们为一名右侧 C6-7 椎间盘突出症患者进行了单节段关节置换术。主刀医生使用 HUD 连续查看术中 X 光片，而无需在将 Caspar 针插入 C6 和 C7 椎体以及将试模和人工椎间盘插入椎间盘间隙时反复离开手术视野。
手术后，患者术前右臂和手部感觉异常得到缓解，并恢复了全部力量。本病例描述了在脊柱手术中使用 Moverio BT-35E Smart Glasses (Epson Inc, Suwa, Japan) HUD 的新颖用途。
