scholarly journals A Systematic Review of the Current Role of Minimally Invasive Spine Surgery in the Management of Metastatic Spine Disease

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Camilo A. Molina ◽  
Ziya L. Gokaslan ◽  
Daniel M. Sciubba
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Spine Surgery ◽  
Minimally Invasive Spine Surgery ◽  
Complication Rates ◽  
Perioperative Morbidity ◽  
Neurological Improvement ◽  
Improved Outcomes ◽  
Minimally Invasive Spine ◽  
Spine Disease

Although increasingly aggressive decompression and resection methods have resulted in improved outcomes for patients with metastatic spine disease, these aggressive surgeries are not feasible for patients with numerous comorbid conditions. Such patients stand to benefit from management via minimally invasive spine surgery (MIS), given its association with decreased perioperative morbidity. We performed a systematic review of literature with the goal of evaluating the clinical efficacy and safety of MIS in the setting of metastatic spine disease. Results suggest that MIS is an efficacious means of achieving neurological improvement and alleviating pain. In addition, data suggests that MIS offers decreased blood loss, operative time, and complication rates in comparison to standard open spine surgery. However, due to the paucity of studies and low class of available evidence, the ability to draw comprehensive conclusions is limited. Future investigations should be conducted comparing standard surgery versus MIS in a prospective fashion.

Minimally invasive spine surgery: systematic review

2014 ◽  
Vol 38 (1) ◽  
pp. 11-26 ◽  
Author(s):  
Péter Banczerowski ◽  
Gábor Czigléczki ◽  
Zoltán Papp ◽  
Róbert Veres ◽  
Harry Zvi Rappaport ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Spine Surgery ◽  
Minimally Invasive Spine Surgery ◽  
Minimally Invasive Spine

scholarly journals A synopsis of current practices in minimally invasive surgery for adult spinal deformity

2017 ◽  
Vol 3 (4) ◽  
pp. 643
Author(s):  
Aniruddh V. Agrawal ◽  
Vinod A. Agrawal ◽  
Adit A. Singhal ◽  
Adit Maniar
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Spine Surgery ◽  
Invasive Surgery ◽  
Spinal Deformity ◽  
Interbody Fusion ◽  
Adult Spinal Deformity ◽  
Minimally Invasive Spine Surgery ◽  
Complication Rates ◽  
Minimally Invasive Spine

<p>To provide a comprehensive summary of the status, indications and developments in the use of minimally invasive surgery in the field of adult spinal deformity. This study was performed by expert review of literature which has been published and is indexed on PubMed. The most appropriate and recent articles were selected to obtain a consolidation of information and knowledge on use and benefits of minimally invasive surgery in adult spinal deformity. Various MIS techniques have been developed to perform the complex ASD surgeries. These include the transforaminal lateral interbody fusion (TLIF), percutaneous segmental fixation as well as the lateral body interbody fusion (LLIF). It is important for a surgeon to obtain a holistic view of current literature and recommended guidelines on the procedures available for ASD surgeries. Overall, minimally invasive spine surgery has resulted in less use of pain medicine, less blood loss, lower infection rates, less requirement for intensive care, less hospitalization, reduction in physiologic stress, reduction in complication rates, reduction in muscle atrophy and preservation of normal motion with fusion rates being as high as 80-95%. More articles consolidating the vast literature on minimally invasive spine surgery need to be published to allow a surgeon to effectively weight the benefits and drawbacks of it. More research needs to be performed to compare the efficacy of sub-types of minimally invasive spine surgery.</p>

scholarly journals Complications of Minimally Invasive, Tubular Access Surgery for Cervical, Thoracic, and Lumbar Surgery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Donald A. Ross
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Open Surgery ◽  
Wound Infection Rate ◽  
Additional Treatment ◽  
Minimally Invasive Spine Surgery ◽  
Complication Rates ◽  
Lower Complication ◽  
Hospital Stays ◽  
Minimally Invasive Spine

The object of the study was to review the author’s large series of minimally invasive spine surgeries for complication rates. The author reviewed a personal operative database for minimally access spine surgeries done through nonexpandable tubular retractors for extradural, nonfusion procedures. Consecutive cases (n=1231) were reviewed for complications. There were no wound infections. Durotomy occurred in 33 cases (2.7% overall or 3.4% of lumbar cases). There were no external or symptomatic internal cerebrospinal fluid leaks or pseudomeningoceles requiring additional treatment. The only motor injuries were 3 C5 root palsies, 2 of which resolved. Minimally invasive spine surgery performed through tubular retractors can result in a low wound infection rate when compared to open surgery. Durotomy is no more common than open procedures and does not often result in the need for secondary procedures. New neurologic deficits are uncommon, with most observed at the C5 root. Minimally invasive spine surgery, even without benefits such as less pain or shorter hospital stays, can result in considerably lower complication rates than open surgery.

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