Related Experiment Video
Updated: Aug 10, 2026
Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
Published on: October 17, 2025
Postural and workflow impacts from the implementation of a cardiovascular surgery/procedure instrument platform
Yifan Li1, Joeseph Y Kim2, Farah A Abdallah3
1Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA; Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.
Background/Objectives:
Image-guided surgical procedures have spatial constraints that complicate workflow, contributing to repetitive awkward turning and leaning postures. These postures, coupled with lead aprons for radiation protection, can cause Work-Related Musculoskeletal Disorders in the spine/shoulders. This study evaluates an intervention table for equipment in front of operators to reduce spatial constraints and physical risks.
Methods:
Nine attending clinicians (8 male) and 3 fellows (2 male) performed Transcatheter Aortic Valve Replacement (TAVRs) at a quaternary academic hospital at baseline and with an intervention table. Postural data, turning patterns, and subjective workload were collected.
Results:
120 cases were collected (67 baseline, 53 intervention). The intervention table significantly reduced high-risk postures for the neck and the torso for attendings; while increasing risky postures for both shoulders compared to baseline.
Conclusions:
The intervention table may help neck and torso postures, with the trade-off being increased risks to the arms and shoulders.
