Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF)
BackgroundAnterior cervical discectomy and fusion (ACDF) is an often performed procedure in spine neurosurgery. These are often performed using an operating microscope (OM) for better illumination and visualization. But its use is limited to the surgeon and the assistant. There is difficulty in mane...
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Medical Technology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmedt.2022.1055189/full |
| _version_ | 1797961592432754688 |
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| author | Manuel Encarnacion Ramirez Ismael Peralta Baez Renat Nurmukhametov Efgeni Goncharov Ibrahim E. Efe Albert Sufianov Issael Ramirez Pena |
| author_facet | Manuel Encarnacion Ramirez Ismael Peralta Baez Renat Nurmukhametov Efgeni Goncharov Ibrahim E. Efe Albert Sufianov Issael Ramirez Pena |
| author_sort | Manuel Encarnacion Ramirez |
| collection | DOAJ |
| description | BackgroundAnterior cervical discectomy and fusion (ACDF) is an often performed procedure in spine neurosurgery. These are often performed using an operating microscope (OM) for better illumination and visualization. But its use is limited to the surgeon and the assistant. There is difficulty in maneuvering long surgical instruments due to the limited space available. Exoscope (EX) has been used as an alternative to microscopes and endoscopes. We used an EX in patients undergoing ACDF for cervical spondylotic myelopathy.MethodsA prospective comparative trial was conducted to test the safety and usability of a low-cost EX compared to a conventional surgical binocular OM in ACDF. Twenty-six patients with degenerative cervical myelopathy symptoms were operated by ACDF assisted by the EX and OM between December 2021 and June 2022. The authors collected and compared data on operative time, intraoperative hemorrhage, hospital admission, and complications in the two groups.ResultsThere were no statistically significant differences between the two groups in mean operative time, hospital stay, or postoperative complications. The average intraoperative blood loss was significantly more in the OM group. There were no surgical complications related to the use of the EX or OM. The comfort level, preoperative setup and intraoperative adjustment of position and angle of the EX were rated higher than the OM group. The image quality, depth perception, and illumination were rated as inferior to that of the OM. The low-cost EX was rated to be superior to that of the OM with regard to education and training purposes.ConclusionOur study showed that the low-cost EX appears to be a safe and effective alternative for OM-assisted ACDF with great comfort and ergonomics and serves as an essential tool for education and training purposes. However, some limitations of our EX included slightly inferior image quality and illumination when compared with the OM. |
| first_indexed | 2024-04-11T01:00:16Z |
| format | Article |
| id | doaj.art-d93802a8ad924e9da056e06c7663e6a3 |
| institution | Directory Open Access Journal |
| issn | 2673-3129 |
| language | English |
| last_indexed | 2024-04-11T01:00:16Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medical Technology |
| spelling | doaj.art-d93802a8ad924e9da056e06c7663e6a32023-01-04T16:27:00ZengFrontiers Media S.A.Frontiers in Medical Technology2673-31292023-01-01410.3389/fmedt.2022.10551891055189Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF)Manuel Encarnacion Ramirez0Ismael Peralta Baez1Renat Nurmukhametov2Efgeni Goncharov3Ibrahim E. Efe4Albert Sufianov5Issael Ramirez Pena6Department of Neurosurgery, RUDN University, Moscow, RussiaDepartment of Neurosurgery, Hospital Regional Alejandro Cabral, San Juan de la Maguana, Dominican RepublicDepartment of Neurosurgery, RUDN University, Moscow, RussiaTraumatology and Orthopedics Center, Central Clinical Hospital of the Russian Academy of Sciences, Moscow, RussiaDepartment of Neurosurgery, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment of Neurosurgery, First Moscow State Medical University (Sechenov University), Moscow, RussiaDepartment of Neurosurgery, The Royal Melbourne Hospital, Melbourne, VIC, AustraliaBackgroundAnterior cervical discectomy and fusion (ACDF) is an often performed procedure in spine neurosurgery. These are often performed using an operating microscope (OM) for better illumination and visualization. But its use is limited to the surgeon and the assistant. There is difficulty in maneuvering long surgical instruments due to the limited space available. Exoscope (EX) has been used as an alternative to microscopes and endoscopes. We used an EX in patients undergoing ACDF for cervical spondylotic myelopathy.MethodsA prospective comparative trial was conducted to test the safety and usability of a low-cost EX compared to a conventional surgical binocular OM in ACDF. Twenty-six patients with degenerative cervical myelopathy symptoms were operated by ACDF assisted by the EX and OM between December 2021 and June 2022. The authors collected and compared data on operative time, intraoperative hemorrhage, hospital admission, and complications in the two groups.ResultsThere were no statistically significant differences between the two groups in mean operative time, hospital stay, or postoperative complications. The average intraoperative blood loss was significantly more in the OM group. There were no surgical complications related to the use of the EX or OM. The comfort level, preoperative setup and intraoperative adjustment of position and angle of the EX were rated higher than the OM group. The image quality, depth perception, and illumination were rated as inferior to that of the OM. The low-cost EX was rated to be superior to that of the OM with regard to education and training purposes.ConclusionOur study showed that the low-cost EX appears to be a safe and effective alternative for OM-assisted ACDF with great comfort and ergonomics and serves as an essential tool for education and training purposes. However, some limitations of our EX included slightly inferior image quality and illumination when compared with the OM.https://www.frontiersin.org/articles/10.3389/fmedt.2022.1055189/fullcervical disc diseaseanterior cervical discectomyanterior cervical fusionexoscopelow cost exoscope |
| spellingShingle | Manuel Encarnacion Ramirez Ismael Peralta Baez Renat Nurmukhametov Efgeni Goncharov Ibrahim E. Efe Albert Sufianov Issael Ramirez Pena Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF) Frontiers in Medical Technology cervical disc disease anterior cervical discectomy anterior cervical fusion exoscope low cost exoscope |
| title | Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF) |
| title_full | Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF) |
| title_fullStr | Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF) |
| title_full_unstemmed | Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF) |
| title_short | Comparative survey study of the use of a low cost exoscope vs. microscope for anterior cervical discectomy and fusion (ACDF) |
| title_sort | comparative survey study of the use of a low cost exoscope vs microscope for anterior cervical discectomy and fusion acdf |
| topic | cervical disc disease anterior cervical discectomy anterior cervical fusion exoscope low cost exoscope |
| url | https://www.frontiersin.org/articles/10.3389/fmedt.2022.1055189/full |
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