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技术在脊柱神经外科学中的演进与融合:范围综述。

The evolution and integration of technology in spinal neurosurgery: A scoping review.

机构信息

State Key Laboratory of Vascular Homeostasis and Remodeling, Department of Neurosurgery, Peking University Third Hospital, Peking University, Beijing 100191, China; Center for Precision Neurosurgery and Oncology of Peking University Health Science Center, Peking University, Beijing 100191, China; Peking University Health Science Center, Beijing 100191, China; Henan Academy of Innovations in Medical Science (AIMS), Zhengzhou 450003, China.

State Key Laboratory of Vascular Homeostasis and Remodeling, Department of Neurosurgery, Peking University Third Hospital, Peking University, Beijing 100191, China; Center for Precision Neurosurgery and Oncology of Peking University Health Science Center, Peking University, Beijing 100191, China.

出版信息

J Clin Neurosci. 2024 Nov;129:110853. doi: 10.1016/j.jocn.2024.110853. Epub 2024 Sep 29.

DOI:10.1016/j.jocn.2024.110853
PMID:39348790
Abstract

Spinal disorders pose a significant global health challenge, affecting nearly 5% of the population and incurring substantial socioeconomic costs. Over time, spinal neurosurgery has evolved from basic 19th-century techniques to today's minimally invasive procedures. The recent integration of technologies such as robotic assistance and advanced imaging has not only improved precision but also reshaped treatment paradigms. This review explores key innovations in imaging, biomaterials, and emerging fields such as AI, examining how they address long-standing challenges in spinal care, including enhancing surgical accuracy and promoting tissue regeneration. Are we at the threshold of a new era in healthcare technology, or are these innovations merely enhancements that may not fundamentally advance clinical care? We aim to answer this question by offering a concise introduction to each technology and discussing in depth its status and challenges, providing readers with a clearer understanding of its actual potential to revolutionize surgical practices.

摘要

脊柱疾病是全球性的健康挑战,影响近 5%的人口,并造成巨大的社会经济负担。随着时间的推移,脊柱神经外科已经从 19 世纪的基本技术发展到今天的微创技术。最近,机器人辅助和先进成像等技术的整合不仅提高了精度,而且重塑了治疗模式。本综述探讨了成像、生物材料和人工智能等新兴领域的关键创新,研究它们如何应对脊柱护理中的长期挑战,包括提高手术精度和促进组织再生。我们是否处于医疗技术新时代的门槛,或者这些创新只是可能不会从根本上推动临床护理的改进?我们旨在通过对每项技术进行简洁介绍,并深入讨论其现状和挑战,来回答这个问题,使读者更清楚地了解其实际潜力,以彻底改变手术实践。

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