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2017 ; 10
(4
): 559-566
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Minimally invasive techniques for lumbar decompressions and fusions
#MMPMID29027622
Narain AS
; Hijji FY
; Markowitz JS
; Kudaravalli KT
; Yom KH
; Singh K
Curr Rev Musculoskelet Med
2017[Dec]; 10
(4
): 559-566
PMID29027622
show ga
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.
RECENT FINDINGS: MIS lumbar decompression and fusion techniques for degenerative
pathology are associated with reduced operative morbidity, shortened length of
hospital stay, and reduced postoperative pain and narcotics utilization. Recent
studies with long-term clinical follow-up have demonstrated equivalence in
clinical outcomes between open and MIS surgical procedures. Radiographically, MIS
procedures provide adequate postoperative correction of coronal alignment.
Correction of sagittal alignment, however, is more variable based on current
reports. 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.