Neurosurgery versus orthopedic surgery: Who has better access to minimally invasive spinal technology?

Guiroy, Alfredo; Duarte, Matias Pereira; Cabrera, Juan P.; Coombes, Nicolás; Gagliardi, Martín; Gotfryd, Alberto Ofenhejm; Carazzo, Charles André; Taboada, Néstor; Falavigna, Asdrúbal

doi:10.25259/sni_600_2020

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…However, orthopedic surgeons were more likely to face problems related to hardware incompatibility and inexperience. In a survey of 306 spine surgeons in Latin America, Guiroy et al [ 31 ] did not find evidence of a difference in access to neuronavigation between orthopedic surgeons and neurosurgeons. However, Härtl et al [ 29 ] found that orthopedic surgeons were less likely to have access to neuronavigation (OR = 0.6; 95 % CI = 0.39–0.90; P = 0.02) [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of spine surgery navigation techniques and availability in Africa: A cross-sectional study

Kanmounye¹,

Zolo

Robertson

et al. 2021

Annals of Medicine &Amp; Surgery

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Background Africa has a large burden of spine pathology but has limited and insufficient infrastructure to manage these spine disorders. Therefore, we conducted this e-survey to assess the prevalence and identify the determinants of the availability of spine surgery navigation techniques in Africa. Materials and methods A two-part questionnaire was disseminated amongst African neurological and orthopedic surgery consultants and trainees from January 24 to February 23, 2021. The Chi-Square, Fisher Exact, and Kruskal-Wallis tests were used to evaluate bivariable relationships, and a p-value <0.05 was considered statistically significant. Results We had 113 respondents from all regions of Africa. Most (86.7 %) participants who practiced or trained in public centers and centers had an annual median spine case surgery volume of 200 (IQR = 190) interventions. Fluoroscopy was the most prevalent spine surgery navigation technique (96.5 %), followed by freehand (55.8 %), stereotactic without intraoperative CT scan (31.9 %), robotic with intraoperative CT scan (29.2 %), stereotactic with intraoperative CT scan (8.8 %), and robotic without intraoperative CT scan (6.2 %). Cost of equipment (94.7 %), lack of trained staff to service (63.7 %), or run the equipment (60.2 %) were the most common barriers to the availability of spine instrumentation navigation. In addition, there were significant regional differences in access to trained staff to run and service the equipment (P = 0.001). Conclusion There is a need to increase access to more advanced navigation techniques, and we identified the determinants of availability.

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Section: Discussionmentioning

confidence: 99%

Prevalence of spine surgery navigation techniques and availability in Africa: A cross-sectional study

Kanmounye¹,

Zolo

Robertson

et al. 2021

Annals of Medicine &Amp; Surgery

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“…Access to MISS in Latin America is difficult due to the implants costs, accessibility to surgical microscopes, and, more importantly, face-to-face educational opportunities in formal surgical teaching programs with a specialized «orthopedic and neurosurgical» approach are scarce. 3,4…”

Section: Miss Surgery Educationmentioning

confidence: 99%

Cirugía de mínima invasión. Fusión intersomática lumbar transforaminal. Argumento de posición grupo de estudio cirugía vertebral Latinoamérica

Marroquín-Herrera¹,

Name-Guerra²,

Taboada³

2022

Ortho-Tips

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Introduction: minimally invasive spine surgery (MISS) has had an exponential development in the last two decades, offering wide intrasurgical and post-surgical benefits compared to open techniques; The MIS-TLIF technique is a recent alternative that involves a paramedian approach, tubular retractor and microscope or endoscope, which gives us the possibility of performing a transforaminal interbody fusion with adequate release of the neural and foraminal canals, all through a single approach «Over-the-top». Objective: to discuss and generate recommendations on the MIS-TLIF, focusing on technical and news to unify criteria and establish a current panorama of competence for spine physicians in training. Material and methods: through a consensus and the criteria of 3 spine surgeons who are experts in minimally invasive surgery using relevant search criteria with MIS-TLIF, which stood out: definition, techniques, benefits, complications, material resources and training for surgeons in training, in the Google scholar, PubMed search engines in English and Spanish from 2000 to 2021. Results: 16 steps could be identified and created sequentially as a support for surgeons in minimally invasive training, demonstrating the versatility and easy diffusion of MIS-TLIF always with the training of an experienced spine surgeon. Conclusion: the MIS-TLIF technique is a versatile surgery that should be diffused in all training centers for spine surgery since it allows us to perform interbody fusions and decompressions from T12 to S1 with positive impact recovery in the short and medium postoperative period term compared to open techniques.

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Lumbar Tubular Decompression: Barriers and Limitations Hampering the Technique's Dissemination Across Latin America

Gotfryd,

Duarte,

Raskin

et al. 2024

World Neurosurgery

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Neurosurgery versus orthopedic surgery: Who has better access to minimally invasive spinal technology?

Cited by 4 publications

References 6 publications

Prevalence of spine surgery navigation techniques and availability in Africa: A cross-sectional study

Prevalence of spine surgery navigation techniques and availability in Africa: A cross-sectional study

Cirugía de mínima invasión. Fusión intersomática lumbar transforaminal. Argumento de posición grupo de estudio cirugía vertebral Latinoamérica

Lumbar Tubular Decompression: Barriers and Limitations Hampering the Technique's Dissemination Across Latin America

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