ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Spinal cord compression in thoracolumbar burst fractures: application of high-definition three-dimensional exoscope in minimally invasive lateral surgery.
Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Exoscope versus microscope in spine surgery: A meta-analysis based on procedure-specific subgroup analysis.Neurosurgical review · 2026Pooled it
- Comparison of short- and long-term efficacy between percutaneous and open pedicle screw fixation for thoracolumbar vertebral fracture.American journal of translational research · 2026Article
- Exoscope-Assisted Spine Surgery: A Systematic Review From Basic to Complex Pathologies.Cureus · 2025Review
- Optimizing Single-Position Prone Lateral Lumbar Interbody Fusion with Exoscopic Technology: A Review of Key Innovations.Journal of clinical medicine · 2025Review
- Exoscope-assisted spine surgery: Current applications and future directions-A short review.World neurosurgery: X · 2025Review
- High-Definition 4K-3D Exoscope in Spine Surgery: A Single-Center Experience and Review of the Literature.Medicina (Kaunas, Lithuania) · 2024Review
- Exoscope-assisted spine surgery: Current applications and future directions.World neurosurgery: X · 2024Review
- Comparative analysis of exoscope-assisted spine surgery versus operating microscope: A systematic review.World neurosurgery: X · 2024Review
- Implementation of a three-dimensional (3D) robotic digital microscope (AEOS) in spinal procedures.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSpinal cord decompression in thoracolumbar burst fractures is challenging. Development of minimally invasive approaches and the improvement in new magnification technologies allowed a better and safer surgical treatment for these complex spinal injuries. We reported our experience in the minimally invasive surgical treatment of thoracolumbar burst fractures with spinal cord compression supported by high-definition (HD) three-dimensional (3D) Video-assisted telescope operating monitor (VITOM) or exoscope.
objectivesTo assess the role and potential advantages of exoscope in the minimally invasive surgery of traumatic thoracolumbar spinal cord compression comparing traditional magnification systems.
settingThe study was conducted in a Northern Italy Spinal Trauma Center.
methodsWe reported 10 consecutive thoracolumbar (T11-L2) burst fractures associated with spinal cord compression treated with minimally invasive corpectomy and exoscope-assisted spinal decompression. Three main indicators were retrospectively analyzed: surgical time, blood loss, and intraoperative complications. The data were compared with those obtained from an equal sample of 10 procedures performed by the same surgeon with the same technique, but traditional microscope assisted. User impressions in terms of ergonomics, magnification, and image quality were rated differently.
resultsA small reduction of surgical time and blood loss were observed in the exoscope assisted group. There were no intraoperative complications attributed to visualization mode or conversion to the traditional microscope in any procedure. In our experience the exoscope allowed a better magnification and image definition with better ergonomics and user-friendliness.
conclusionsIn our preliminary experience the exoscope new technology is a safe and effective tool for spinal cord minimally invasive decompression in thoracolumbar burst fractures. The stereoscopic vision provided by 3D images seems to be crucial in hand eye coordination. There are clear advantages in terms of maneuverability, wide field of view, deep focus, and more comfortable posture for the spinal surgeon.
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