ArticleJournal of craniovertebral junction & spine
Combined transoral exoscope and OArm-assisted approach for craniovertebral junction surgery: Light and shadows in single-center experience with improving technologies.
Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Exoscope-assisted far-lateral approach for a retro-odontoid pseudotumor in the lateral position without fusion: a technical case report.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Optimizing patient positioning for exoscopic cranial surgery.Neurosurgical focus: Video · 2025Article
- Exoscope-Assisted Spine Surgery: A Systematic Review From Basic to Complex Pathologies.Cureus · 2025Review
- Handling Editor: Prof F KandzioraNew frontiers in craniovertebral junction surgery: How innovations are changing the game.Brain & spine · 2025Article
- Less Is More: Evaluating the Benefits of Minimally Invasive Spinal Surgery.Life (Basel, Switzerland) · 2024Review
- Neurosurgery and Spine Surgery: From Up-to-Date Practitioners, From the Past to the Present.Journal of clinical medicine · 2024Article
- Comparative analysis of exoscope-assisted spine surgery versus operating microscope: A systematic review.World neurosurgery: X · 2024Review
- Craniovertebral Junction Surgical Approaches: State of Art.Advances and technical standards in neurosurgery · 2024Article
- Assessing the Training in Neurosurgery with the Implementation of VITOM-3D Exoscope: Learning Curve on Experimental Model in Neurosurgical Practice.Brain sciences · 2023Article
- Combined Transoral Exoscope and OARM-Assisted Approach for Craniovertebral Junction Surgery. New Trends in an Old-Fashioned Approach.Acta neurochirurgica. Supplement · 2023Article
- Os odontoideum associated with a retro-odontoid cyst treated with posterior C1-C3 fixation: A case report and literature review.Frontiers in surgery · 2022Article
- Subjective workload measurement of the transition from a conventional operative microscope to a Robotic Digital Microscope. A pilot study.Brain & spine · 2022Article
- The Exoscope in Neurosurgery: An Overview of the Current Literature of Intraoperative Use in Brain and Spine Surgery.Journal of clinical medicine · 2021Review
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe introduction of recent innovations in the field of intraoperative imaging and neuronavigation, such as OArm Stealth Station, allows to obtain crucial intraoperative data by performing safer and controlled surgical procedures. As part of the improvement of surgical visual magnification and wide expansion of surgical corridors, the 3D-4K exoscope (EX) represents nowadays an interesting and useful tool. Transoral approach (TOA) represents the historical gold standard direct microsurgical route to ventral craniovertebral junction (CVJ).
methodsWe herein report a preliminary experience on 6 cases of 33 patients operated by TOA concerning the simultaneous application of OArm with Stealth Navigation system (Medtronic, Memphis, TN) and imaging system along with the 3D-4K EXs in TOA for the treatment of CVJ pathologies.
resultsNeither intraoperative neurophysiological changes nor postoperative infections occurred, but a neurological improvement was evident in all the patients. A complete decompression along with stable instrumentation and fusion of the CVJ was accomplished in all cases at the maximum follow-up (mean: 16.8 months).
conclusionsWith EX, the role of surgeon become self-sufficient with a better individual surgical freedom compared to endoscopic surgery and excellent 3D vision and magnification. OArm allows an absolutely reliable intraoperative support for a more effective CVJ decompression. Nevertheless, with OArm-assisted neuronavigation, it can be difficult to navigate C1 lateral masses and C2 isthmi, and to convert 3D into 2D real-time navigation, it can become quite complicate. Finally, the association of EX and OArm appears more time consuming compared to the old fashion one.
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