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Medicina
Special Issues
Spinal Neurosurgery: Current Treatment and Future Options
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Spinal Neurosurgery: Current Treatment and Future Options

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Neurology".

Deadline for manuscript submissions: 31 August 2025 | Viewed by 710

Special Issue Editors

Dr. Giuseppe Di Perna

E-Mail Website
Guest Editor
Neurosurgery Unit, Policlinico Riuniti Foggia, University of Foggia, Foggia, Italy
Interests: spinal metastases; degenerative spine diseases; spine injury; spine endoscopy
Dr. Antonio Colamaria

E-Mail Website
Guest Editor
Neurosurgery Unit, Policlinico Riuniti Foggia, University of Foggia, Foggia, Italy
Interests: degenerative spine diseases; spine endoscopy; spine injury; spine tumors
Dr. Fabio Cofano

E-Mail Website
Guest Editor
Department of Neurosciences, University of Turin, Turin, Italy
Interests: spinal metastases; degenerative spine diseases; spine injury; robotic spine surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are pleased to invite you to contribute to this Special Issue of Medicina, titled “Spinal Neurosurgery: Current Treatment and Future Options”. Spinal neurosurgery is undergoing a transformation driven by technological innovations and refined surgical techniques, improving both patient outcomes and surgeon capabilities. This issue will explore these advancements, focusing on five key areas: robotics and navigation in spine surgery, minimally invasive surgery, spine tumor surgery, and endoscopic spine surgery.

The aim of this Special Issue is to provide a comprehensive overview of current trends and future directions in spinal neurosurgery, offering insights that align with the journal's broader scope of advancing medical practice through innovation. This collection of original research articles, reviews, and case reports will shed light on how these new methods can enhance precision, reduce complications, and improve outcomes, aiming to achieve the best patients treatment.

We look forward to receiving your contributions.

Dr. Giuseppe Di Perna
Dr. Antonio Colamaria
Dr. Fabio Cofano
Guest Editors

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 100 words) can be sent to the Editorial Office for announcement on this website.

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. Medicina is an international peer-reviewed open access monthly 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 2200 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

  • spinal neurosurgery
  • robotic surgery
  • minimally invasive spine surgery
  • spine tumors
  • endoscopic surgery
  • spine technology

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Published Papers (1 paper)

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15 pages, 2703 KiB  
Systematic Review
Accuracy and Safety Between Robot-Assisted and Conventional Freehand Fluoroscope-Assisted Placement of Pedicle Screws in Thoracolumbar Spine: Meta-Analysis
by Alberto Morello, Stefano Colonna, Enrico Lo Bue, Giulia Chiari, Giada Mai, Alessandro Pesaresi, Diego Garbossa and Fabio Cofano
Medicina 2025, 61(4), 690; https://doi.org/10.3390/medicina61040690 - 9 Apr 2025
Viewed by 554
Abstract
Background and Objectives: Robotic-assisted surgery (RS) has progressively emerged as a promising technology in modern thoracolumbar spinal surgery, offering the potential to enhance accuracy and improve clinical outcomes. To date, the benefits of robot-assisted techniques in thoracolumbar spinal surgery remain controversial. The [...] Read more.
Background and Objectives: Robotic-assisted surgery (RS) has progressively emerged as a promising technology in modern thoracolumbar spinal surgery, offering the potential to enhance accuracy and improve clinical outcomes. To date, the benefits of robot-assisted techniques in thoracolumbar spinal surgery remain controversial. The objective of this study was to assess the efficacy and safety of RS compared to fluoroscopy-assisted surgery (FS) in spinal fusion procedures. Materials and Methods: In accordance with the PRISMA guidelines, a systematic review and meta-analysis was conducted, using REVMAN V5.3 software. The review protocol was registered in the Prospective Register of Systematic Reviews (PROSPERO) website with the following registration number: CRD42024567193. Results: Eighteen studies were included in the meta-analysis with a total of 1566 patients examined. The results demonstrated a worse accuracy in FS in cases with major violations of the peduncular cortex (D–E grades, according to Gertzbein’s classification) [(odds ratio (OR) 0.47, 95%-CI 0.28 to 0.80, I2 0%]. In addition, a lower complication rate was shown in the RS group compared to the FS group, specifically regarding the need for surgical revision due to screw mispositioning (OR 0.28-CI 0.17 to 0.48, I2 98%). Conclusions: Advantages of robot-assisted techniques were demonstrated in terms of postoperative complications, revision surgery rates, and the accuracy of screw placement. While RS represents a valuable and promising technological advancement in thoracolumbar spinal surgery, future studies are needed to further explore its advantages in thoracolumbar spinal surgery and to identify which spinal surgical approach has greater advantages when using the robot. Full article
(This article belongs to the Special Issue Spinal Neurosurgery: Current Treatment and Future Options)
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