The Utilization of Navigation and Emerging Technologies With Endoscopic Spine Surgery: A Narrative Review.

IF 3.6 2区医学 Q1 CLINICAL NEUROLOGY

Neurospine Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI:10.14245/ns.2449404.702

Abhinav K Sharma, Rafael Garcia de Oliveira, Siravich Suvithayasiri, Piya Chavalparit, Chien Chun Chang, Yong H Kim, Charla R Fischer, Sang Lee, Samuel Cho, Jin-Sung Kim, Don Young Park

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Abstract

Endoscopic spine surgery (ESS) is growing in popularity worldwide. An expanding body of literature demonstrates rapid functional recovery with reduced morbidity compared to open techniques. Both full endoscopic spine surgery, or uniportal endoscopy, and unilateral biportal endoscopy (UBE) can be employed in conjunction with various navigation and enabling technologies for assistance with localization of anatomic orientation and assessment of the intraoperative target spinal pathology. This review article describes various navigation technologies in ESS, including 2-dimensional (2D) fluoroscopic imaging, 2D fluoroscopic navigation, 3-dimensional C-arm navigation, augmented reality, and spinal robotics. Employment of enabling navigation and emerging technology with the registration of patient-specific anatomy enables clear delineation of anatomic landmarks and facilitation of a successful procedure. Additionally, avoidance of common pitfalls during use of navigation systems in ESS is discussed in this review.

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导航和新兴技术在内窥镜脊柱手术中的应用：综述。

内窥镜脊柱手术（ESS）在世界范围内越来越受欢迎。越来越多的文献表明，与开放式技术相比，功能恢复迅速，发病率降低。全内窥镜脊柱手术，或单门静脉内窥镜和单侧双门静脉内窥镜（UBE）都可以与各种导航和辅助技术结合使用，以帮助定位解剖方向和评估术中目标脊柱病理。这篇综述文章介绍了ESS中的各种导航技术，包括二维（2D）透视成像、二维透视导航、三维c形臂导航、增强现实和脊柱机器人。利用导航和新兴技术对患者特定解剖结构进行登记，可以清晰地描绘解剖标志，促进手术成功。此外，本文还讨论了在ESS中使用导航系统时应避免的常见缺陷。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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