State of the art advances in minimally invasive surgery for adult spinal deformity

被引:12
|
作者
Hussain, Ibrahim [1 ]
Fu, Kai-Ming [2 ]
Uribe, Juan S. [3 ]
Chou, Dean [4 ]
Mummaneni, Praveen, V [4 ]
机构
[1] Univ Miami, Miller Sch Med, Dept Neurol Surg, Miami, FL 33136 USA
[2] New York Presbyterian Hosp, Dept Neurol Surg, Weill Cornell Med Coll, 525 East 68th St,Box 99, New York, NY 10065 USA
[3] Barrow Neurol Inst, Dept Neurol Surg, Phoenix, AZ 85013 USA
[4] Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA USA
关键词
Minimally invasive; Adult spinal deformity; MISDEF; MIISA; Anterior column release; Navigation; Robotics; LUMBAR INTERBODY FUSION; ANTERIOR COLUMN REALIGNMENT; RETROPERITONEAL TRANSPSOAS APPROACH; PEDICLE SUBTRACTION OSTEOTOMY; BONE MORPHOGENETIC PROTEIN-2; SURGICAL-TREATMENT; RETROGRADE EJACULATION; RADIOGRAPHIC PARAMETERS; VASCULAR COMPLICATIONS; 3-COLUMN OSTEOTOMY;
D O I
10.1007/s43390-020-00180-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Adult spinal deformity (ASD) can be associated with substantial suffering due to pain and disability. Surgical intervention for achieving neural decompression and restoring physiological spinal alignment has shown to result in significant improvement in pain and disability through patient-reported outcomes. Traditional open approaches involving posterior osteotomy techniques and instrumentation are effective based on clinical outcomes but associated with high complication rates, even in the hands of the most experienced surgeons. Minimally invasive techniques may offer benefit while decreasing associated morbidity. Minimally invasive surgery (MIS) for ASD has evolved over the past 20 years, driven by improved understanding of open procedures along with novel technique development and technologic advancements. Early efforts were hindered due to suboptimal outcomes resulting from high pseudarthrosis, inadequate correction, and fixation failure rates. To address this, multi-center collaborative groups have been established to study large numbers of ASD patients which have been vital to understanding optimal patient selection and individualized management strategies. Different MIS decision-making algorithms have been described to better define appropriate candidates and interbody selection approaches in ASD. The purpose of this state of the review is to describe the evolution of MIS surgery for adult deformity with emphasis on landmark papers, and to discuss specific MIS technology for ASD, including percutaneous pedicle screw instrumentation, hyperlordotic grafts, three-dimensional navigation, and robotics.
引用
收藏
页码:1143 / 1158
页数:16
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