Minimally invasive spinal surgery: stages of development

Byvaltsev, Vadim A.; Калинин, А. А.; Konovalov, N A

doi:10.17116/neiro20198305192

Cited by 10 publications

(5 citation statements)

References 98 publications

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“…It also results in early mobilization, a faster return to previous physical activity, and, likely, a lower risk of postoperative spinal deformity. If our analysis would be verified with future studies, we believe that LP should be adopted as the approach of choice for PSCT surgery, since it retains normal anatomy and is less invasive than LE [ 47 ].…”

Section: Discussionmentioning

confidence: 93%

Laminoplasty versus Laminectomy in the Treatment of Primary Spinal Cord Tumors in Adult Patients: A Systematic Review and Meta-analysis of Observational Studies

et al. 2023

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The present systematic review and meta-analysis was conducted to compare the safety and efficacy of the two approaches for primary spinal cord tumors (PSCTs) in adult patients (laminoplasty [LP] vs. laminectomy [LE]). LE is one of the most common procedures for PSCTs. Despite advantages of LP, it is not yet widely used in the neurosurgical community worldwide. The efficacy of LP vs. LE remains controversial. Adult patients over 18 years of age with PSCT at the level of the cervical, thoracic, and lumbar spine were included in the study. A literature search was performed in MEDLINE via PubMed, EMBASE, The Cochrane Library, and Google Scholar up to December 2021. Operation time, hospital stay, complications, and incidence of postoperative spinal deformity (kyphosis or scoliosis were extracted. A total of seven retrospective observational studies with 540 patients were included. There were no significant differences between LP and LE group in operation time (p=0.25) and complications (p=0.48). The LE group showed larger postoperative spinal deformity rate than the LP group (odds ratio, 0.47; 95% confidence interval [CI], 0.27−0.84; p=0.01). The LP group had a shorter hospital stay (standardized mean differences, −0.68; 95% CI, −1.03 to −0.34; p=0.0001) than the LE group. Both LP and LE have comparable operative times and total complications in the treatment of PSCT. LP was superior to LE in hospital stay and postoperative spinal deformity rate. However, these findings are limited by the very low quality of the available evidence. Randomized controlled trials are needed for further comparison.

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Section: Discussionmentioning

confidence: 93%

Laminoplasty versus Laminectomy in the Treatment of Primary Spinal Cord Tumors in Adult Patients: A Systematic Review and Meta-analysis of Observational Studies

et al. 2023

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“…With the increasing popularization of minimally invasive technology, minimally invasive surgery with less trauma, less bleeding and faster recovery speed has been gradually recognized and promoted by patients and orthopedic surgeons (17)(18)(19)(20)(21). From September 2015 to May 2019, a total of 18 patients with Posterior edge separation of the vertebral body were treated in our department, all of whom were treated with minimally invasive techniques (9 cases of PELD/9 cases of MISS-TLIF), and the postoperative effects were satisfactory.…”

Section: Discussionmentioning

confidence: 99%

The minimally invasive spinal surgery in the treatment of posterior edge separation

Deng¹,

Yang²,

Lu³

et al. 2020

Ann Palliat Med

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Background: Posterior edge separation of the vertebral body is an uncommon but non-rare orthopedic disease, the traditional treatment is posterior open surgery. Recently, a lot of attempts in minimally invasive treatment of lumbar posterior edge fracture have been made. We set to discover the value of minimally invasive surgery in the treatment of posterior edge separation, we designed this retrospective study.Methods: Eighteen patients (10 males and 8 females) with posterior edge separation were included between September 2015 and May 2019. The mean age of the patients were 49.9 years. Patients that we included were divided into two groups: people in team A were treated with percutaneous endoscopic lumbar discectomy (PELD), while the other group (team B) were carried the minimally invasive spinal surgerytransforaminal lumbar interbody fusion (MISS-TLIF). The intraoperative/postoperative complications and index were recorded respectively. Visual analogue scale (VAS) and Oswestry disability index (ODI) were applied as evaluation parameters to evaluate the effect of the procedure. Results:The mean operation time and notch length in PELD group were 71 min and 6.8 mm, while these date in the other group were 105 min and 31.2 mm. In PELD group, the blood loss during the operation were 5 mL and the time lying in bed after the surgery 24 h, the data in corresponding group were 101 mL and 96 h. People included in our trial (excluding 1 defaulters) had a mean follow-up of 9 months (range, 3-12 months). The VAS and ODI score before and after the surgery had insignificant difference between the two groups (P>0.05). Compared with the data before the operation, the VAS and ODI score had significantly improved after the surgery in two groups (P<0.05). Conclusions:The MISS-TLIF and PELD were all effective methods in the treatment of posterior edge separation.

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“…In the recent decades, there has been a remarkable increase in using minimally invasive technologies in spinal neuro-orthopedics [ 1 , 2 ]. For patients with symptomatic degenerative diseases of the lumbar spine, the method of transforaminal interbody fusion with transpedicular stabilization is considered most appropriate [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Accelerated Recovery Program for Patients with Polysegmental Degenerative Lumbar Spine Disease

Kalinin¹,

Goloborodko²,

Shepelev³

et al. 2021

Sovrem Tehnol Med

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The aim of the study was to evaluate the effectiveness of the accelerated recovery program for patients with polysegmental degenerative diseases of the lumbar spine.Materials and Methods. This prospective study included 53 patients who underwent two-level transforaminal interbody fusion in the L II -S I segments. Two groups were identified: in group 1 (n=24), operations were performed using the accelerated recovery program; in group 2 (n=29), open rigid stabilization was used under traditional intravenous anesthesia. The end-point parameters were the number of bed-days spent in the hospital after the operation, the number of perioperative surgical complications and adverse effects of anesthesia, and the number of re-hospitalizations within 90 days. We also recorded the time of patient activation, the level of pain around the operated zone (using a visual analogue scale), and the quality of life in the long-term postoperative period (median 18 months); the latter was assessed using the SF-36 questionnaire (physical and psychological components of health).Results. Patients under the accelerated recovery program were found to have a shorter duration of surgery and anesthesia, less blood loss, lower amounts of injected opioids, faster verticalization, and a reduced period of inpatient treatment (p<0.05 for all parameters). As compared to group 2, patients in group 1 had a lower level of pain in the surgery zone (p<0.05), better long-term indicators of the physical and psychological components of health (p<0.05), a lower number of anesthesia-associated adverse events (p<0.05), and a lower rate of postoperative complications (p<0.05). During the 90-day postoperative observation, four patients of group 2 (13.8%) were urgently referred to a medical institution for additional medical care.Conclusion. The accelerated recovery program for two-level interbody fusion showed its safety and high clinical efficiency in the treatment of patients with polysegmental degenerative diseases of the lumbar spine. The program can be used in any center for spine surgery where effective interaction between polyvalent medical and nursing teams is maintained.

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Minimally invasive spinal surgery: stages of development

Cited by 10 publications

References 98 publications

Laminoplasty versus Laminectomy in the Treatment of Primary Spinal Cord Tumors in Adult Patients: A Systematic Review and Meta-analysis of Observational Studies

Laminoplasty versus Laminectomy in the Treatment of Primary Spinal Cord Tumors in Adult Patients: A Systematic Review and Meta-analysis of Observational Studies

The minimally invasive spinal surgery in the treatment of posterior edge separation

Accelerated Recovery Program for Patients with Polysegmental Degenerative Lumbar Spine Disease

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