Evolving Minimally Invasive Spine Surgery: A Surgeon's Perspective on Technological Convergence and Digital OR Control System

Abstract:

Degenerated spinal disc and spinal stenosis are common problems requiring decompressive spinal surgery. Traditional open spinal discectomy is associated with significant tissue trauma, greater morbidity/complications, scarring, often longer term of convalescence, and even destabilization of the spine. Therefore, the pursuit of less traumatic minimally invasive spine surgery (MISS) began. The trend of spinal surgery is rapidly moving toward MISS. MISS is a technologically dependent surgery, and requires increased utilization of advanced endoscopic surgical instruments, imaging-video technology, and tissue modulation technology for performing spinal surgery in a digital operating room (DOR). It requires seamless connectivity and control to perform the surgical procedures in a precise and orchestrated manner. A new integrated DOR, the technological convergence and control system SurgMatix®, was created in response to the need and to facilitate MISS with "organized control instead of organized chaos" in the endoscopic OR suite. It facilitates the performance, training, and further development of MISS.

Authors:

John C. Chiu, M.D., D.Sc., F.R.C.S., Director, Neurospine Surgery, Department of Neurosurgery, California Spine Institute, Thousand Oaks, CA, Ali M. Maziad, M.D., MSc., Spine Surgery and Surgical Informatics Fellow, California Spine Institute - IPILAB, University of Southern California, Los Angeles, CA, George Rappard, M.D., Neuro-Interventional Radiologist, Los Angeles Brain and Spine Institute, Los Angeles, CA, James T. Thacker, M.D., Interventional Pain Management Specialist, California Spine Institute, Thousand Oaks, CA, Brent Liu, Ph.D., Associate Professor of Radiology, Image Processing and Informatics Lab (IPILAB), University of Southern California, Los Angeles, CA, Jorge Documet, Ph.D., Post Doctorate Fellow, Image Processing and Informatics Lab (IPILAB), University of Southern California, Los Angeles, CA

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