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突破微创脊柱手术的极限——从术前到术中再到术后管理

Pushing the Limits of Minimally Invasive Spine Surgery-From Preoperative to Intraoperative to Postoperative Management.

作者信息

Drossopoulos Peter N, Sharma Arnav, Ononogbu-Uche Favour C, Tabarestani Troy Q, Bartlett Alyssa M, Wang Timothy Y, Huie David, Gottfried Oren, Blitz Jeanna, Erickson Melissa, Lad Shivanand P, Bullock W Michael, Shaffrey Christopher I, Abd-El-Barr Muhammad M

机构信息

Division of Spine, Department of Neurosurgery, Duke University, Durham, NC 27710, USA.

Department of Anesthesiology, Duke University, Durham, NC 27710, USA.

出版信息

J Clin Med. 2024 Apr 20;13(8):2410. doi: 10.3390/jcm13082410.

Abstract

The introduction of minimally invasive surgery ushered in a new era of spine surgery by minimizing the undue iatrogenic injury, recovery time, and blood loss, among other complications, of traditional open procedures. Over time, technological advancements have further refined the care of the operative minimally invasive spine patient. Moreover, pre-, and postoperative care have also undergone significant change by way of artificial intelligence risk stratification, advanced imaging for surgical planning and patient selection, postoperative recovery pathways, and digital health solutions. Despite these advancements, challenges persist necessitating ongoing research and collaboration to further optimize patient care in minimally invasive spine surgery.

摘要

微创手术的引入开创了脊柱手术的新时代,它将传统开放手术中过度的医源性损伤、恢复时间和失血以及其他并发症降至最低。随着时间的推移,技术进步进一步完善了对接受微创脊柱手术患者的护理。此外,术前和术后护理也通过人工智能风险分层、用于手术规划和患者选择的先进成像、术后恢复途径以及数字健康解决方案发生了重大变化。尽管取得了这些进展,但挑战依然存在,需要持续的研究与合作,以进一步优化微创脊柱手术的患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00f/11051300/01259f0b1b82/jcm-13-02410-g001.jpg

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