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Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
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Advances in tissue state recognition in spinal surgery: a review
1Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Frontiers of Medicine
|May 15, 2021
Summary
Spinal diseases cause increasing pain and are treated with surgery. New sensing techniques aim to improve surgical accuracy and reduce tissue injury by enhancing objective tissue recognition.
Area of Science:
- Neurosurgery
- Biomedical Engineering
- Orthopedics
Background:
- Spinal diseases are a growing cause of pain and neurological deficits.
- Surgical intervention is the primary treatment for spinal cord and nerve root compression.
- Traditional tactile sensation in surgery lacks objectivity, leading to potential complications.
Purpose of the Study:
- To review advancements in tissue state recognition methods for spinal surgery.
- To enhance objectivity in identifying tissue states during surgical procedures.
- To improve the accuracy of safe area localization and minimize surgical injury.
Main Methods:
- Review of traditional tactile sensation in spinal surgery.
- Exploration of emerging surgical sensing techniques.
- Analysis of force-based and bioelectrical impedance methods.
Main Results:
- Tactile sensation is subjective and has limitations in surgical guidance.
- Sensing techniques offer improved objectivity for tissue state recognition.
- Various methods are being developed and clinically tested for spinal surgery.
Conclusions:
- Objective tissue recognition is crucial for advancing spinal surgery.
- Novel sensing technologies hold promise for safer and more accurate spinal procedures.
- Further research is needed to optimize these techniques for clinical application.
