Intraoperative Performance with the Exoscope in Spine Surgery: An Institutional Experience

Area of Science:

• Neurosurgery
• Surgical Technology
• Spinal Surgery

Background:

• Exoscope use in spinal neurosurgery offers improved visibility and ergonomics.
• Limited literature exists on exoscope application in spine surgery.

Purpose of the Study:

• To compare intraoperative outcomes of exoscope-assisted spinal surgery with those of operative microscope procedures.

Main Methods:

• Retrospective review of spinal surgeries (2016-2023) using exoscope versus operative microscope.
• Analysis of patient demographics, clinical presentation, surgical treatment, and operative outcomes.

Main Results:

• Exoscope group (123 surgeries) showed significantly less blood loss (28 mL vs. 132 mL), shorter operative time (83 min vs. 103 min), and reduced length of stay (1.04 days vs. 1.73 days) compared to the microscope group (126 surgeries).
• Statistical significance was achieved for all compared parameters (P < 0.05).

Conclusions:

• Exoscope-assisted spinal surgery demonstrates superior outcomes, including reduced operative time, blood loss, and length of stay.
• The exoscope is an effective and ergonomically advantageous visual technology for spinal surgeries.