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内镜脊柱外科导航技术。

Navigation Techniques in Endoscopic Spine Surgery.

机构信息

Warren Alpert School of Medicine of Brown University, 222 Richmond Street, Providence, RI 02903, USA.

Department of Neurosurgery, CHR Citadelle, Bd du 12eme de Ligne, 1, 4000 Liege, Belgium.

出版信息

Biomed Res Int. 2022 Aug 29;2022:8419739. doi: 10.1155/2022/8419739. eCollection 2022.


DOI:10.1155/2022/8419739
PMID:36072476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9444441/
Abstract

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.

摘要

内镜脊柱外科 (ESS) 推进了微创外科的原则,包括轻微的附带组织损伤、减少失血和更快的恢复时间。ESS 通过小切口直接进入脊柱,并通过内窥镜直接观察脊柱病变。虽然该技术有许多应用,但在外科医生的实践中采用 ESS 存在陡峭的学习曲线。光学和电磁两种导航方式可以通过改善对手术解剖结构的定位和降低并发症发生率来广泛应用 ESS。本综述通过提供案例示例讨论了这两种可用的导航技术及其在内镜手术中的应用。此外,我们还报告了 ESS 领域内导航的未来发展方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/639508782cfb/BMRI2022-8419739.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/de3d31016eab/BMRI2022-8419739.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/a7f3879c1b90/BMRI2022-8419739.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/98c169fb6478/BMRI2022-8419739.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/68cb9409ea7d/BMRI2022-8419739.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/9beb3b85e265/BMRI2022-8419739.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/639508782cfb/BMRI2022-8419739.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/de3d31016eab/BMRI2022-8419739.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/a7f3879c1b90/BMRI2022-8419739.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/98c169fb6478/BMRI2022-8419739.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/68cb9409ea7d/BMRI2022-8419739.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/9beb3b85e265/BMRI2022-8419739.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/9444441/639508782cfb/BMRI2022-8419739.006.jpg

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引用本文的文献

[1]
Advancements in Spinal Endoscopic Surgery: Comprehensive Techniques and Pathologies Addressed by Full Endoscopy Beyond Lumbar Disc Herniation.

J Clin Med. 2025-5-24

[2]
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Dig Endosc. 2025-5

[3]
One-hole split endoscopy versus unilateral biportal endoscopy for lumbar degenerative disease: a systematic review and meta-analysis of clinical outcomes and complications.

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[4]
Standalone ultrasound-based highly visualized volumetric spine imaging for surgical navigation.

Sci Rep. 2025-2-10

[5]
Less Is More: Evaluating the Benefits of Minimally Invasive Spinal Surgery.

Life (Basel). 2024-12-25

[6]
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Neurospine. 2024-12

[7]
Three-dimensional endoscopy in lumbar spine surgery as a novel approach for degenerative pathologies: a case report.

J Surg Case Rep. 2024-8-28

[8]
A Multi-Element Identification System Based on Deep Learning for the Visual Field of Percutaneous Endoscopic Spine Surgery.

Indian J Orthop. 2024-4-10

[9]
Applications of navigation in full-endoscopic spine surgery.

Eur Spine J. 2024-2

[10]
The Changing Environment in Postgraduate Education in Orthopedic Surgery and Neurosurgery and Its Impact on Technology-Driven Targeted Interventional and Surgical Pain Management: Perspectives from Europe, Latin America, Asia, and The United States.

J Pers Med. 2023-5-18

本文引用的文献

[1]
Endoscopic Techniques for Lumbar Interbody Fusion: Principles and Context.

Biomed Res Int. 2022

[2]
Pedicle Screw Placement Using Intraoperative Computed Tomography and Computer-Aided Spinal Navigation Improves Screw Accuracy and Avoids Postoperative Revisions: Single-Center Analysis of 1400 Pedicle Screws.

World Neurosurg. 2022-4

[3]
Image Guidance in Spinal Surgery: A Critical Appraisal and Future Directions.

Int J Spine Surg. 2021-10

[4]
Augmented Reality Assisted Endoscopic Transforaminal Lumbar Interbody Fusion: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown). 2021-11-15

[5]
Surgical Precision and Efficiency of a Novel Electromagnetic System Compared to a Robot-Assisted System in Percutaneous Pedicle Screw Placement of Endo-LIF.

Global Spine J. 2023-6

[6]
A real-time 3D electromagnetic navigation system for percutaneous pedicle screw fixation in traumatic thoraco-lumbar fractures: implications for efficiency, fluoroscopic time, and accuracy compared with those of conventional fluoroscopic guidance.

Eur Spine J. 2022-1

[7]
Present and Future Spinal Robotic and Enabling Technologies.

Oper Neurosurg (Hagerstown). 2021-6-15

[8]
"Disruptive Technology" in Spine Surgery and Education: Virtual and Augmented Reality.

Oper Neurosurg (Hagerstown). 2021-6-15

[9]
Intraoperative Computed Tomography-Based Navigation with Augmented Reality for Lateral Approaches to the Spine.

Brain Sci. 2021-5-15

[10]
The technical feasibility and preliminary results of minimally invasive endoscopic-TLIF based on electromagnetic navigation: a case series.

BMC Surg. 2021-3-20

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