Evolving Minimally Invasive Spine Surgery: A Surgeon's Perspective on Technological Convergence and Digital OR Control System

Publication:

Surgical Technology International XIX - Orthopaedic Surgery

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Author(s)

John C. Chiu, M.D., D.Sc., F.R.C.S.
Director, Neurospine Surgery
Department of Neurosurgery
California Spine Institute
Thousand Oaks, CA

Ali M. Maziad, M.D., MSc.
Spine Surgery and Surgical Informatics Fellow
California Spine Institute - IPILAB
University of Southern California
Los Angeles, CA

George Rappard, M.D.
Neuro-Interventional Radiologist
Los Angeles Brain and Spine Institute
Los Angeles, CA

James T. Thacker, M.D.
Interventional Pain Management Specialist
California Spine Institute
Thousand Oaks, CA

Brent Liu, Ph.D.
Associate Professor of Radiology
Image Processing and Informatics Lab (IPILAB)
University of Southern California
Los Angeles, CA

Jorge Documet, Ph.D.
Post Doctorate Fellow
Image Processing and Informatics Lab (IPILAB)
University of Southern California
Los Angeles, CA

Abstract

Degenerated spinal disc and spinal stenosis are common problems requiring decompressive spinal surgery. Traditional open spinal discectomy is associated with significant tissue trauma, greater morbidity/complications, scarring, often longer term of convalescence, and even destabilization of the spine. Therefore, the pursuit of less traumatic minimally invasive spine surgery (MISS) began. The trend of spinal surgery is rapidly moving toward MISS. MISS is a technologically dependent surgery, and requires increased utilization of advanced endoscopic surgical instruments, imaging-video technology, and tissue modulation technology for performing spinal surgery in a digital operating room (DOR). It requires seamless connectivity and control to perform the surgical procedures in a precise and orchestrated manner. A new integrated DOR, the technological convergence and control system SurgMatix^®, was created in response to the need and to facilitate MISS with "organized control instead of organized chaos" in the endoscopic OR suite. It facilitates the performance, training, and further development of MISS.