Minimally invasive techniques for lumbar decompressions and fusions

Abstract

Purpose of review The purpose of this study is to summarize the recent literature investigating the use of minimally invasive (MIS) techniques in the treatment of lumbar degenerative stenosis, spondylolisthesis, and scoliosis. Correction of sagittal alignment, however, is more variable based on current reports. Summary MIS techniques are both safe and effective in the treatment of lumbar degenerative pathologies. While some studies have reported on long-term outcomes and costs associated with MIS procedures, more investigation into these topics is still necessary. Additionally, further work is required to analyze the training requirements and learning curves of MIS procedures to better promote adoption amongst surgeons.

Comparison of Transforaminal Lumbar Interbody Fusion Using the Boomerang-Shaped Cage with Traditional Posterior Lumbar Interbody Fusion for Lumbar Spondylolisthesis

“…By comparing several level fusions, the benefits of TLIF would be emphasized, such as in elderly patients who require correction surgery for degenerative scoliosis using the multilevel interbody fusion that the low invasiveness of surgery including the decrease of blood loss and operative time would be essential to avoid the serious perioperative complication that affects the general condition 22,23) . The boomerang-shaped cages could be used for not only long fusion surgery but also minimally invasive surgery (MIS), which has recently been noticed as the new less invasive technique 24,25) . In our future study, comparison of surgical results between MIS technique and open procedure would be investigated for the further application of TLIF.…”

Parafusos pediculares e violação facetária – A importância do ângulo entre a faceta e o parafuso

“…2 Sometimes, the treatment of these pains can be conservative; however, many patients are sometimes refractory to these treatments, with most of them requiring, therefore, surgical treatment to resolve their symptoms. 3 Depending on the type of condition to be treated, it is necessary to use supplementation/posterior fixation. 4,5 Multiple techniques for lumbar supplementation/fixation have been proposed and used and, for reducing the risk of neurovascular injuries and for promoting great stabilization of the construction, pedicle screws have become the preferred method for posterior fixation in lumbar surgeries allowing the stability of the operated level.…”

“… 2 Sometimes, the treatment of these pains can be conservative; however, many patients are sometimes refractory to these treatments, with most of them requiring, therefore, surgical treatment to resolve their symptoms. 3 …”

“… 2 Por vezes, o tratamento dessas dores pode se dar de maneira conservadora; no entanto, muitos pacientes se apresentam, por vezes, refratários a estes tratamentos, e a maioria destes requer o tratamento cirúrgico para resolução dos seus sintomas. 3 …”

Percutaneous facet joints arthrodesis technology in surgical treatment of degenerative diseases of lumbar spine

“…Несмотря на очевидные преимущества минимально инвазивных методик, снижающих травматичность вмешательства и ускоряющих реабилитацию пациента, их результат -полнота формирования костного блока, обеспечивающего стабильность ПДС, -остается недостаточно точно прогнозируемым [3][4][5]. В первую очередь это связано с техническими трудностями выполнения заднего спондилодеза в сочетании с перкутанной транспедикулярной или трансфасеточной фиксацией, при котором приходится надеяться на спонтанное формирование межсуставного костного блока.…”