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Technological Innovations in Spine Surgery: Diagnosis and Management
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Technological Innovations in Spine Surgery: Diagnosis and Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 20 October 2026 | Viewed by 190

Special Issue Editor

Dr. Abdul Karim Ghaith

E-Mail Website
Guest Editor
Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Interests: spine surgery; spine; neurosurgery; spine trauma; spinal tumor

Special Issue Information

Dear Colleagues,

Technological innovation is rapidly transforming spine surgery, influencing every stage of care from diagnosis and surgical planning to intraoperative execution and postoperative management. Advances in high-resolution and functional imaging, navigation systems, robotic assistance, artificial intelligence, and minimally invasive techniques have significantly improved surgical accuracy, safety, and patient outcomes. At the same time, the increasing complexity of spinal pathologies—such as degenerative disease, trauma, tumors, deformity, and infection—demands more precise, data-driven, and individualized approaches.

Despite substantial progress, key challenges remain, including validation of emerging technologies, integration into routine clinical workflows, learning curves, and equitable access across healthcare systems. This Special Issue aims to highlight state-of-the-art technological developments in spine surgery, critically assess their clinical impact, and identify future directions for innovation.

We welcome articles and reviews, addressing novel diagnostic tools, surgical technologies, artificial intelligence applications, and outcome optimization strategies in spine surgery. This Special Issue seeks to foster interdisciplinary collaboration and accelerate the translation of technological advances into improved patient care.

Dr. Abdul Karim Ghaith
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • spine surgery
  • neurosurgery
  • spinal imaging
  • surgical navigation
  • robotic spine surgery
  • artificial intelligence
  • ma-chine learning
  • minimally invasive spine surgery
  • spinal trauma
  • spinal tumors
  • surgical innovation
  • intraoperative technology
  • outcome prediction
  • precision surgery
  • digital health

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Published Papers (1 paper)

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Review

19 pages, 389 KB  
Review
The Fluoroscopy Paradox: Radiation Exposure, Dose Optimization, and Occupational Risk in Full-Endoscopic and Biportal Spine Surgery—A Narrative Review
by Dong Hun Kim, Jae-Taek Hong and Jung-Woo Hur
J. Clin. Med. 2026, 15(11), 4032; https://doi.org/10.3390/jcm15114032 - 22 May 2026
Abstract
Endoscopic spine surgery (ESS)—including full-endoscopic transforaminal and interlaminar techniques, and unilateral biportal endoscopy (UBE)—offers patients smaller incisions, preserved paraspinal muscle, and faster recovery. Because the working corridor is narrow, intraoperative fluoroscopy plays a larger role than in open or microscopic approaches, making radiation [...] Read more.
Endoscopic spine surgery (ESS)—including full-endoscopic transforaminal and interlaminar techniques, and unilateral biportal endoscopy (UBE)—offers patients smaller incisions, preserved paraspinal muscle, and faster recovery. Because the working corridor is narrow, intraoperative fluoroscopy plays a larger role than in open or microscopic approaches, making radiation exposure worthy of attention for both patients and surgeons. This narrative review aims to be a practical resource for the endoscopic spine surgeon. We synthesize the available literature on typical radiation doses across the main ESS techniques, compare them with minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and open alternatives, review the factors that drive exposure, and walk through the full menu of dose-optimization options—from simple measures such as collimation, pulsed fluoroscopy, and leaded eyewear, through navigation platforms, to robotic guidance. A consistent practical observation is that the simplest, least expensive interventions often deliver the largest dose reductions. Capital-intensive technologies add real value, particularly for endoscopic interbody fusion, and work best alongside rather than in place of these basics. With routine dosimetry and straightforward as-low-as-reasonably-achievable (ALARA) practices, surgeons can continue to build on the already favourable profile of ESS while keeping radiation exposure low. Conclusions are tempered by the largely retrospective and heterogeneous nature of the underlying evidence. Full article
(This article belongs to the Special Issue Technological Innovations in Spine Surgery: Diagnosis and Management)
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