Emerging trends and technologies for a spinal surgery
When it comes to the surgery of the spine, inclusive of either the entire spine, a deformity of the spine, cervix, or the lumbar has increased in volume and improved in terms of the generation of outcomes over the past five decades because of the innovations in surgical procedures and techniques and the introduction of novel technology for the purpose of improving patient-centric care. Advancements and improvements in patient-oriented outcomes with spinal surgery have been facilitated by a number of factors including the potential offered by new technology and innovations. It is necessary to measure the surgical outcomes, otherwise how can the benefits and advancements be realized. The innovation can be in terms of surgeon training, surgical techniques or greater efficiencies in surgical care and introduction of novel technology.
The history of spine surgery and the present-day research (Minimally Invasive Spine Surgery)
The history of spine surgery is full of pioneers and innovators. The need to preserve as much as possible the characteristics of the spine such as the biomechanical characteristics has become increasingly impelling, considering the results of traditional forms of surgery. It has become evident that a spinal surgery is effective in terms of controlling the symptoms in the short term but in the long term, it can potentially lead to biomechanical and physiological complications if the specific functional and anatomical features are not properly preserved. Considering these results, the development of technology and research in spinal surgery are the major characteristics of essential innovations that are capable of assisting a surgeon’s work and the well-being of the patient. Among the different approaches to the spine, the injury caused to the muscle is the greatest when using the approach involving the posterior midline. The applications of MIS (Minimally Invasive Spine) surgery are unending and are further evolving with the passage of each day.
The proven efficacy and safety of Microendoscopic discectomy
To start with, lumbar discectomy is one of the most commonly performed procedures. MED (Microendoscopic discectomy) is one of the very first procedures performed using a tubular retractor and is now extremely widely accepted due to its proven efficacy and safety. The surgical procedure of MED has been increasingly compared to traditional discectomy with similar results and an important advantage of less invasiveness. Not only the short-term outcomes but even the long-term outcomes of approximately 10 years post-operation have been reported to be satisfactory. Lumbar spinal stenosis is one of the most common pathologies in the patients who are above the age of 65 years for which a spinal surgery is contemplated to improve the overall quality of living. In the future, the increasing popularity of micro endoscopic techniques accompanied with a consistent approach to overcome the drawbacks of traditional surgical methods like percutaneous pedicle screw fixation is now paving the way towards modern-day and robotic spine surgery.
Conclusion
Additionally, in the future, a navigation-assisted guidance is to couple the patient images acquired by pre-operative and intraoperative CAT scans or 2D-3D fluoroscopy in the future. This and making it available on a virtual type platform for real-time feedback which can be further utilized for spinal instrumentation with no radiation and high-precision.
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