The Role and Future of Endoscopic Spine Surgery: A Narrative Review

Many types of surgeries are changing from conventional to minimally invasive techniques. Techniques in spine surgery have also changed, with endoscopic spine surgery (ESS) becoming a major surgical technique. Although ESS has advantages such as less soft tissue dissection and normal structure damage...

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Bibliographic Details
Published in:Neurospine Vol. 20; no. 1; pp. 43 - 55
Main Authors: Kwon, Hyungjoo, Park, Jeong-Yoon
Format: Journal Article
Language:English
Published: Korea (South) Korean Spinal Neurosurgery Society 01.03.2023
Subjects:
augmented reality
endoscopic spine surgery
minimal invasive surgery
navigation
Review
robot-assisted surgery
Minimal invasive surgery
Navigation
Robot-assisted surgery
Endoscopic spine surgery
Augmented reality
ISSN:2586-6583, 2586-6591
Online Access:Get full text
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Summary:Many types of surgeries are changing from conventional to minimally invasive techniques. Techniques in spine surgery have also changed, with endoscopic spine surgery (ESS) becoming a major surgical technique. Although ESS has advantages such as less soft tissue dissection and normal structure damage, reduced blood loss, less epidural scarring, reduced hospital stay, and earlier functional recovery, it is not possible to replace all spine surgery techniques with ESS. ESS was first used for discectomy in the lumbar spine, but the range of ESS has expanded to cover the entire spine, including the cervical and thoracic spine. With improvements in ESS instruments (optics, endoscope, endoscopic drill and shaver, irrigation pump, and multiportal endoscopic), limitations of ESS have gradually decreased, and it is possible to apply ESS to more spine pathologies. ESS currently incorporates new technologies, such as navigation, augmented and virtual reality, robotics, and 3-dimentional and ultraresolution visualization, to innovate and improve outcomes. In this article, we review the history and current status of ESS, and discuss future goals and possibilities for ESS through comparisons with conventional surgical techniques.
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ISSN:2586-6583
2586-6591
DOI:10.14245/ns.2346236.118