Minimally invasive techniques for lumbar decompressions and fusions

Ankur S. Narain, Fady Y. Hijji, Jonathan S. Markowitz, Krishna T. Kudaravalli, Kelly H. Yom, Kern Singh

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

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. 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. 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.

Original languageEnglish
Pages (from-to)559-566
Number of pages8
JournalCurrent Reviews in Musculoskeletal Medicine
Volume10
Issue number4
DOIs
StatePublished - 1 Dec 2017
Externally publishedYes

Keywords

  • Degenerative scoliosis
  • Degenerative spondylolisthesis
  • LLIF
  • Lumbar stenosis
  • Minimally invasive surgery
  • TLIF

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