Minimally Invasive Surgery for Adolescent Idiopathic Scoliosis: A Systematic Review

被引:0
|
作者
Tsirikos, Athanasios I. [1 ]
Ahuja, Kaustubh [1 ]
Khan, Mohsin [1 ]
机构
[1] Royal Hosp Children & Young People, Scottish Natl Spine Deform Ctr, Edinburgh EH16 4TJ, Scotland
关键词
minimally invasive surgery; adolescent idiopathic scoliosis; thoracoscopic; vertebral body tethering; POSTERIOR SPINAL-FUSION; SKELETALLY IMMATURE PATIENTS; RESEARCH-SOCIETY MORBIDITY; FOLLOW-UP; PULMONARY-FUNCTION; GROWTH MODULATION; LEARNING-CURVE; INSTRUMENTATION; OUTCOMES; COMPLICATIONS;
D O I
10.3390/jcm13072013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Minimally invasive surgical (MIS) techniques have gained popularity as a safe and effective alternative to open surgery for degenerative, traumatic, and metastatic spinal pathologies. In adolescent idiopathic scoliosis, MIS techniques comprise anterior thoracoscopic surgery (ATS), posterior minimally invasive surgery (PMIS), and vertebral body tethering (VBT). In the current systematic review, the authors collected and analyzed data from the available literature on MIS techniques in AIS. Methods: The articles were shortlisted after a thorough electronic and manual database search through PubMed, EMBASE, and Google Scholar. Results: The authors included 43 studies for the review; 14 described the outcomes with ATS, 13 with PMIS, and 16 with VBT. Conclusions: While the efficacy of the ATS approach is well-established in terms of comparable coronal and sagittal correction to posterior spinal fusion, the current use of ATS for instrumented fusion has become less popular due to a steep learning curve, high pulmonary and vascular complication rates, implant failures, and increased non-union rates. PMIS is an effective alternative to the standard open posterior spinal fusion, with a steep learning curve and longer surgical time being potential disadvantages. The current evidence, albeit limited, suggests that VBT is an attractive procedure that merits consideration in terms of radiological correction and clinical outcomes, but it has a high complication and re-operation rate, while the most appropriate indications and long-term outcomes of this technique remain unclear.
引用
收藏
页数:17
相关论文
共 50 条
  • [1] Minimally Invasive Surgery versus Open Surgery for Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-Analysis
    Neradi, Deepak
    Kumar, Vishal
    Kumar, Sunil
    Sodavarapu, Praveen
    Goni, Vijay
    Dhatt, Sarvdeep Singh
    ASIAN SPINE JOURNAL, 2022, 16 (02) : 279 - 289
  • [2] Novel Surgical Technique for Adolescent Idiopathic Scoliosis: Minimally Invasive Scoliosis Surgery
    Park, Sung Cheol
    Son, Sei Wook
    Yang, Jae Hyuk
    Chang, Dong-Gune
    Suh, Seung Woo
    Nam, Yunjin
    Kim, Hong Jin
    JOURNAL OF CLINICAL MEDICINE, 2022, 11 (19)
  • [3] Learning Curve for Minimally Invasive Scoliosis Surgery in Adolescent Idiopathic Scoliosis
    Yang, Jae Hyuk
    Kim, Hong Jin
    Chang, Dong-Gune
    Nam, Yunjin
    Suh, Seung Woo
    WORLD NEUROSURGERY, 2023, 175 : E201 - E207
  • [4] Minimally Invasive Versus Standard Surgery in Idiopathic Scoliosis Patients
    Sarwahi, Vishal
    Galina, Jesse M.
    Hasan, Sayyida
    Atlas, Aaron
    Ansorge, Alexandre
    De Bodman, Charlotte
    Lo, Yungtai
    Amaral, Terry D.
    Dayer, Romain
    SPINE, 2021, 46 (19) : 1326 - 1335
  • [5] Minimally invasive surgery using posterior-only Pedicle screw fixation in treatment of Adolescent Idiopathic Scoliosis: A Systematic Review and Meta-Analysis
    Fiore, Michele
    Ruffilli, Alberto
    Viroli, Giovanni
    Barile, Francesca
    Manzetti, Marco
    Faldini, Cesare
    JOURNAL OF CLINICAL NEUROSCIENCE, 2022, 99 : 317 - 326
  • [6] Fusion rates based on type of bone graft substitute using minimally invasive scoliosis surgery for adolescent idiopathic scoliosis
    Yang, Jae Hyuk
    Kim, Hong Jin
    Chang, Dong-Gune
    Suh, Seung Woo
    BMC MUSCULOSKELETAL DISORDERS, 2023, 24 (01)
  • [7] Advancements in minimally invasive surgery for adolescent idiopathic scoliosis: A case series and literature review
    Ho, Yi-Jen
    Chiang, Wen-Chun
    Lin, Ying-Chao
    TZU CHI MEDICAL JOURNAL, 2025, 37 (01): : 80 - 85
  • [8] Vertebral body tethering for adolescent idiopathic scoliosis: a review
    Alasadi, Husni
    Rajjoub, Rami
    Alasadi, Yazan
    Wilczek, Ashley
    Lonner, Baron S.
    SPINE DEFORMITY, 2024, 12 (03) : 561 - 575
  • [9] Minimally invasive scoliosis surgery for adolescent idiopathic scoliosis using posterior mini-open technique
    Yang, Jae Hyuk
    Kim, Hong Jin
    Chang, Dong-Gune
    Suh, Seung Woo
    JOURNAL OF CLINICAL NEUROSCIENCE, 2021, 89 : 199 - 205
  • [10] Minimally Invasive Surgery in Patients With Adolescent Idiopathic Scoliosis: Is it Better than the Standard Approach? A 2-Year Follow-up Study
    Sarwahi, Vishal
    Horn, Jonathan J.
    Kulkarni, Preethi M.
    Wollowick, Adam L.
    Lo, Yungtai
    Gambassi, Melanie
    Amaral, Terry D.
    CLINICAL SPINE SURGERY, 2016, 29 (08): : 331 - 340