Support Exoskeleton May Improve Surgeons’ Ergonomic Experience During Surgery

Kim JY, Norasi H, Cassivi SD, et al. Use of an Intraoperative Head, Neck, and Back Support Exoskeleton on Surgeons’ Pain and Posture. Ann Surg. February 2026.

Twelve attending surgeons from six specialties were observed in a matched-pair design across 48 open operations, performing two procedures with a passive head, neck, and back exoskeleton (NekSpine) and two without. 

Wearing the device reduced self-reported discomfort in the neck and, secondarily, the shoulders and left upper arm. Inertial sensors documented ergonomic changes, with less time spent in the highest-risk neck and torso postures and more time in moderate-risk positions. Mean neck flexion decreased by approximately 4.8° (33.4° to 28.6°). Usability ratings were generally favorable, workflow disruption was uncommon, and most surgeons indicated they would use the device again. One case required device removal mid-procedure due to restricted mobility.

For surgeons, a passive neck and back exoskeleton is a plausible ergonomic adjunct for open cases that involve sustained cervical flexion. Expect reductions in extreme neck and torso postures and less neck discomfort without major interference in operative flow, while planning for proper fitting, brief acclimation, and occasional interactions with other equipment. 

Given the small, single-institution sample and focus on open procedures, broader evaluation in laparoscopic and robotic settings and among trainees is warranted before routine adoption.