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Improving Surgeon Well-Being: Ergonomics in Neurosurgery
Alexander J Schupper1, Eugene I Hrabarchuk1, Lily McCarthy1
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
World Neurosurgery
|July 10, 2023
Summary
Musculoskeletal disorders are prevalent in neurosurgery. Innovations like robotics and exoscopes improve ergonomics, reducing surgeon strain and enhancing career longevity.
Area of Science:
- Neurosurgery
- Orthopedics
- Medical Technology
Background:
- Musculoskeletal disorders (MSDs) significantly impact neurosurgeons' careers.
- Spine and skull base subspecialties face high injury risks due to prolonged, physically demanding procedures.
Approach:
- This review examines MSD prevalence in neurosurgery.
- It assesses innovations in operating room ergonomics for neurosurgeons.
- It discusses technological limitations for maximizing surgeon longevity.
Key Points:
- Robotics, exoscopes, and advanced handheld devices enhance surgical ergonomics.
- These innovations enable instrument maneuverability with reduced physical effort.
- Neutral body positioning and minimized joint/muscle strain are facilitated.
Conclusions:
- Technological advancements prioritize surgeon comfort and neutral positioning.
- Minimizing force exertion and fatigue is a key focus in OR innovation.
- Ergonomic improvements aim to extend the careers of neurosurgeons.

