Affiliation:
1. Department of Orthopedics Fujian Medical University Union Hospital Fuzhou 086‐350001 China
Abstract
ObjectiveThe risk of musculoskeletal injuries (MSIs) increases over years of practice which may lead to career‐ending among surgeons. Exoscopes represent a new generation of imaging systems that help surgeons operate in a more comfortable posture. This article aimed to assess advantages and limitations, especially ergonomics with a 3D exoscope in lumbar spine microsurgery versus an operating microscope (OM) to reduce MSIs.MethodsFrom March 2018 to May 2020, 90 patients with lumbar disc herniation undergoing a single‐level minimally invasive transforaminal lumbar interbody fusion (MIS‐TLIF) procedure were included. Forty‐seven patients were operated with the assistance of the exoscope and 43 patients were operated with the assistance of the OM. Clinical data, magnification, and illumination were evaluated. In particular, the ergonomics of surgeons was evaluated by a questionnaire (subjective) and a rapid entire body assessment (REBA; objective).ResultsThe postoperative outcomes were reasonably well balanced between the two groups. The handling of the exoscope was comparable to that of the OM. The depth perception, image quality, and illumination of the exoscope were inferior to those of the OM in MIS‐TLIF with long and deep approaches. The educational and training function of the exoscope was superior to that of the OM. Importantly, surgeons rated the ergonomics of the exoscope as very high on the questionnaire and the REBA to the OM (P = 0.017).ConclusionsThis study showed that the exoscope was a safe and effective alternative to the OM for assisting the MIS‐TLIF procedure with the unique advantage of ergonomics to reduce musculoskeletal injuries.
Subject
Orthopedics and Sports Medicine,Surgery
Reference44 articles.
1. Operating microscopes: past, present, and future
2. A high‐definition 3D exoscope as an alternative to the operating microscope in spinal microsurgery;Siller S;J Neurosurg Spine,2020
3. Ergonomics in the Operating Room
4. Ergonomics in Spine Surgery
5. Ergonomics in microsurgery
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献