TECHNIQUES OF MINIMALLY INVASIVE SURGERY IN ADULT DEGENERATIVE SPINAL DEFORMITY : A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.53555/nnmhs.v9i8.1814Keywords:
Degenerative Spinal Deformity, Minimally Invasive Surgical, Scoliosis, Spine SurgeryAbstract
Adult spinal deformities are a leading cause of pain and disability in the modern world. Advances in modern healthcare has allowed the population’s life expectancy to increase substantially. Despite this, there has been a marked increase in the number of ill and disabled individuals, leading to impairment in their quality of life. In order to continue performing successfully as an adult beyond retirement age, it is imperative to avoid pain and limitations in physical activity. When an adult develops a spinal deformity, surgery can help alleviate pain and reduce disability. Adult scoliosis is defined as a spine curvature greater than 10 degrees in a patient older than 18 years; nevertheless, in more severe cases, treatment is sometimes advised. Degeneration may be accelerated by asymmetric disk/facet degeneration or osteoporotic insufficiency fractures. Recently, minimally invasive spine surgery (MIS) has been at the forefront of innovation in spine surgery. MIS spine surgery not only refers to surgery through a smaller incision, but also to a technique that strives to reduce the approach-related morbidity associated with conventional open spine surgery. According to the findings of this study, Surgeons have to be prepared to offer both open or MIS for patients. Various MIS technique and its combination including hybrid surgery are used in cases of adult spinal deformity, the appropriate technique chosen for the surgery should include factors such as the spinopelvic harmony, age and outcome prediction of each patients into consideration as each technique has its own advantages and disadvantages.
References
1. Mazur-Hart DJ, Than KD. Minimally Invasive Advances in Deformity. Neurosurg Clin N Am [Internet]. 2020;31(1):111–20. Available from: https://www.sciencedirect.com/science/article/pii/S1042368019300750
2. Silva FE, Lenke LG. Adult degenerative scoliosis: evaluation and management. Neurosurg Focus. 2010;28(3):E1.
3. Wang M, Lu Y, Anderson DG, Mummaneni P V. Minimally invasive spinal deformity surgery. Springer; 2016.
4. Cho K-J, Kim Y-T, Shin S, Suk S-I. Surgical treatment of adult degenerative scoliosis. Asian Spine J. 2014;8(3):371.
5. Deukmedjian AR, Ahmadian A, Bach K, Zouzias A, Uribe JS. Minimally invasive lateral approach for adult degenerative scoliosis: lessons learned. Neurosurg Focus. 2013 Aug;35(2):E4.
6. Lam WKJ, Chan JYK. Recent advances in the management of nasopharyngeal carcinoma. F1000Research. 2018;7.
7. Baron EM, Albert TJ. Medical complications of surgical treatment of adult spinal deformity and how to avoid them. Spine (Phila Pa 1976). 2006;31(19S):S106–18.
8. Uribe JS, Arredondo N, Dakwar E, Vale FL. Defining the safe working zones using the minimally invasive lateral retroperitoneal transpsoas approach: an anatomical study. J Neurosurg Spine. 2010;13(2):260–6.
9. Dakwar E, Vale FL, Uribe JS. Trajectory of the main sensory and motor branches of the lumbar plexus outside the psoas muscle related to the lateral retroperitoneal transpsoas approach. J Neurosurg Spine. 2011;14(2):290–5.
10. Anand N, Baron EM, Khandehroo B, Kahwaty S. Long-term 2- to 5-year clinical and functional outcomes of minimally invasive surgery for adult scoliosis. Spine (Phila Pa 1976). 2013 Aug;38(18):1566–75.
11. Park P, Wang MY, Lafage V, Nguyen S, Ziewacz J, Okonkwo DO, et al. Comparison of two minimally invasive surgery strategies to treat adult spinal deformity. J Neurosurg Spine. 2015 Apr;22(4):374–80.
12. Hua W, Wang B, Ke W, Wu X, Zhang Y, Li S, et al. Comparison of lumbar endoscopic unilateral laminotomy bilateral decompression and minimally invasive surgery transforaminal lumbar interbody fusion for one-level lumbar spinal stenosis. BMC Musculoskelet Disord. 2020 Nov;21(1):785.
13. Boachie-Adjei O, Charles G, Cunningham ME. Partially overlapping limited anterior and posterior instrumentation for adult thoracolumbar and lumbar scoliosis: a description of novel spinal instrumentation,“the hybrid technique.” HSS Journal®. 2007;3(1):93–8.
14. Rosner MK, Polly DW, Kuklo TR, Ondra SL. Thoracic pedicle screw fixation for spinal deformity. Neurosurg Focus. 2003;14(1):1–6.
15. Anand N, Baron EM, Thaiyananthan G, Khalsa K, Goldstein TB. Minimally invasive multilevel percutaneous correction and fusion for adult lumbar degenerative scoliosis: a technique and feasibility study. Clin Spine Surg. 2008;21(7):459–67.
16. Benglis DM, Elhammady MS, Levi AD, Vanni S. Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity. Neurosurgery. 2008;63(suppl_3):A191–6.
17. Dickerman RD, East JW, Winters K, Tackett J, Hajovsky-Pietla A. Anterior and posterior lumbar interbody fusion with percutaneous pedicle screws: comparison to muscle damage and minimally invasive techniques. Spine (Phila Pa 1976). 2009;34(25):E923–5.
18. Deukmedjian AR, Dakwar E, Ahmadian A, Smith DA, Uribe JS. Early outcomes of minimally invasive anterior longitudinal ligament release for correction of sagittal imbalance in patients with adult spinal deformity. Sci World J. 2012;2012.
19. Dakwar E, Cardona RF, Smith DA, Uribe JS. Early outcomes and safety of the minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis. Neurosurg Focus. 2010 Mar;28(3):E8.
20. Marchi L, Oliveira L, Amaral R, Castro C, Coutinho T, Coutinho E, et al. Anterior elongation as a minimally invasive alternative for sagittal imbalance—a case series. HSS Journal®. 2012;8:122–7.
21. Isaacs RE, Hyde J, Goodrich JA, Rodgers WB, Phillips FM. A prospective, nonrandomized, multicenter evaluation of extreme lateral interbody fusion for the treatment of adult degenerative scoliosis: perioperative outcomes and complications. Spine (Phila Pa 1976). 2010;35(26S):S322–30.
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