Our Summary

This research paper is about a new surgical tool called the 3D 4K-HD exoscope (EX). This tool is believed to improve spine surgery by providing better lighting, easier use, improved magnification, and a clearer view of the surgical area. It could also be useful in teaching and training future surgeons.

To test this, the researchers looked back at six months’ worth of spine surgeries at Northwell Health where they used the EX. They looked at how the tool was used in the operating room, its advantages and disadvantages, and how well the patients did after surgery.

The results showed that the ten patients who had surgery with the EX all did very well and had no complications. The EX was easy to use and provided a good view of the operation. The large screen also helped the surgical team see what was happening in 3D, just like the surgeon.

In conclusion, this study shows that the EX could be a very useful tool in spine surgery. It has many potential advantages, but more research is needed to see how effective it is in different types of surgery.

FAQs

  1. What is the 3D 4K-HD exoscope (EX) and how is it believed to improve spine surgery?
  2. How was the effectiveness of the 3D 4K-HD exoscope (EX) tested in spine surgeries at Northwell Health?
  3. What were the results of the study on the use of the 3D 4K-HD exoscope (EX) in spine surgery and what conclusions were drawn?

Doctor’s Tip

A doctor might tell a patient considering spinal surgery that the use of advanced tools like the 3D 4K-HD exoscope can provide a clearer view of the surgical area and potentially improve the outcome of the procedure. It’s important to discuss with your surgeon the tools and techniques they plan to use during your surgery to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for spinal surgery include those with severe and persistent back pain, spinal cord compression, herniated discs, spinal stenosis, scoliosis, spinal fractures, and other spinal deformities. These patients may have tried non-surgical treatments such as physical therapy, medication, and injections without success, and surgery may be the next step in managing their condition.

Spinal surgery is generally considered for patients who have significant symptoms that are impacting their daily activities and quality of life. The decision to undergo surgery is typically made after a thorough evaluation by a spine specialist who considers the patient’s medical history, imaging studies, and overall health.

It is important for patients considering spinal surgery to discuss the risks and benefits with their healthcare provider and to explore all available treatment options before making a decision. In some cases, conservative treatments may be effective in managing symptoms and surgery may not be necessary.

Timeline

Before spinal surgery:

  1. Patient undergoes initial consultation with a spine surgeon to discuss symptoms, medical history, and treatment options.
  2. Diagnostic tests such as X-rays, MRI, or CT scans are performed to determine the extent of the spinal condition.
  3. Pre-operative appointments are scheduled for blood tests, ECG, and other necessary tests.
  4. Patient may undergo physical therapy or other conservative treatments prior to surgery.

After spinal surgery:

  1. Patient is monitored closely in the recovery room immediately after surgery.
  2. Pain medication is administered as needed to manage post-operative pain.
  3. Physical therapy is initiated to help the patient regain strength and mobility.
  4. Follow-up appointments are scheduled with the surgeon to monitor progress and address any concerns.
  5. Patient is advised to follow post-operative instructions for wound care, activity restrictions, and rehabilitation.
  6. Over time, the patient gradually resumes normal activities and experiences improvement in symptoms.

What to Ask Your Doctor

Some questions a patient should ask their doctor about spinal surgery using the 3D 4K-HD exoscope (EX) include:

  1. How will the use of the EX during my surgery benefit me compared to traditional surgical methods?
  2. What specific advantages does the EX offer in terms of lighting, magnification, and visualization during spinal surgery?
  3. Are there any potential risks or limitations associated with using the EX in my surgery?
  4. How experienced is the surgical team with using the EX, and what training have they undergone to ensure its safe and effective use?
  5. Can I expect a quicker recovery or better outcomes with the use of the EX in my spinal surgery?
  6. Will the use of the EX impact the length of my surgery or my overall hospital stay?
  7. Are there any additional costs associated with using the EX in my surgery that I should be aware of?
  8. Will the use of the EX have any impact on my post-operative care or rehabilitation process?
  9. Are there any specific criteria or conditions that make me a better candidate for spinal surgery using the EX?
  10. What are the potential long-term benefits of using the EX in my spinal surgery, and how will it improve my quality of life?

Reference

Authors: Kwan K, Schneider JR, Du V, Falting L, Boockvar JA, Oren J, Levine M, Langer DJ. Journal: Oper Neurosurg. 2019 May 1;16(5):619-625. doi: 10.1093/ons/opy196. PMID: 30124929