Novel Surgical Technique for Adolescent Idiopathic Scoliosis: Minimally Invasive Scoliosis Surgery

Abstract

Despite advancements in instruments and surgical techniques for adolescent idiopathic scoliosis (AIS) surgery, conventional open scoliosis surgery (COSS) is usually required to achieve satisfactory deformity correction using various distinct surgical techniques, such as rod derotation, direct vertebral rotation, facetectomies, osteotomies, and decortication of the laminae. However, COSS is accompanied by significant blood loss and requires a large midline skin incision. Minimally invasive surgery (MIS) has evolved enormously in various fields of spinal surgery, including degenerative spinal diseases. MIS of the spine has some advantages over conventional surgery, such as a smaller incision, less blood loss and postoperative pain, and lower infection rates. Since the introduction of MIS for AIS in 2011, MIS has been reported to have comparable outcomes, including correction rate with some usual advantages of MIS. However, several complications, such as dislodgement of rods, wound infection, and hypertrophic scar formation, have also been reported in the initial stages of MIS for AIS. We devised a novel approach, called the coin-hole technique or minimally invasive scoliosis surgery (MISS), to minimize these complications. This article aimed to introduce a novel surgical technique for AIS and provide a preliminary analysis and up-to-date information regarding MISS.

Sex differences in musculoskeletal injury and disease risks across the lifespan: Are there unique subsets of females at higher risk than males for these conditions at distinct stages of the life cycle?

“…A range of treatments for AIS are available and these range from exercises to bracing and finally surgery for those with severe disease and a large degree of deviation (i.e., Cobb angle) ( Day et al, 2019 ; Kaelin, 2020 ; Dufvenberg et al, 2021 ; Bowden et al, 2022 ; Park et al, 2022 ; Seleviciene et al, 2022 ; Turner et al, 2022 ; Zaina et al, 2022 ). For those patients with severe disease and needing surgery, the implantation of rods and screws can alleviate the curvature-associated complications but can also affect quality of life during post-skeletal maturity.…”

Development of Indications for Endoscopic Spine Surgery: An Overview

“…It can be used not only for mechanical surgical injuries, but probably for many pain-causing areas that have been difficult to treat [75]. ESS has been used for decompression in degenerative spinal stenosis, disc herniation, migrated disc herniation, calcified disc herniation, scoliosis, spondylolisthesis, tumour, previous fusion, lumbar facet cysts, spinal fractures, cauda equina syndrome, and infection [70,74,[76][77][78][79][80][81][82][83].…”

Assessment of the Efficacy of Low-Density Pedicle Screw Construction Correction of Adolescent Idiopathic Scoliosis: A Prospective Single-Center Study

“…Pedicle screws, anchors in spinal fusion surgeries, have undergone design and placement strategy refinements. Low-density constructs, strategically placed to achieve maximal correction, have emerged as a potential solution to address the complications of traditional high-density screw constructs and non-operative management approaches [ 19 , 20 ].…”