Abstract
The advances in minimally invasive spinal surgery (MISS) are unparalleled. These advances have occurred throughout the spinal axis from the occiput to the pelvis. With the progress in optics, instrumentation, and familiarity with MISS procedures, MISS can now be seen in all aspects of spine surgery.
Although MISS began as a way to assist decompressions within the lumbar spine, MISS has transitioned to address complex decompressions, tumor resections, fusions, and deformity. Decompressions include lumbar, thoracic, and cervical discs. Recurrent herniated discs, synovial cysts, and intradural and extradural tumors are within the scope of MISS. With percutaneous screws and expandable working channels, fixation is accomplished in multiple levels within the spinal axis. With thoracoscopic and transpsoas techniques, deformity can be approached within the coronal and axial plane. With bilateral extracavitary approaches, Smith-Peterson osteotomies and pedicle screw subtraction, osteotomies for deformity within the sagittal plane can also be accomplished.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Smith L. Chemonucleolysis. Clin Orthop Relat Res 1969 Nov-Dec, 67:72–80
Hijikata S. Percutaneous nucleotomy. A new concept technique and 12 years’ experience. Clin Orthop Relat Res 1989 Jan, 238:9–23
Kravenbuhl H, Yasargil MG. Use of the microscope in surgery of the central nervous system. Praxis 1968, 57(7):214–7
Onik G, Helms CA, Ginsberg L, Hoaglund FT, Morris J. Percu-taneous lumbar diskectomy using a new aspiration probe: porcine and cadaver model. Radiology 1985, 155(1):251–2
Choy DS, Ascher PW, Ranu HS, Saddekni S, Alkaitis D, Liebler W, Hughes J, Diwan S, Altman P. Percutaneous laser nucleolysis of lumbar disks. N Engl J Med 1987, 317(12):771–2
Schreiber A, Suezawa Y. Transdiscoscopic percutaneous nucleotomy in disk herniation. Orthop Rev 1986, 15(1):35–8
Mayer HM, Brock M, Berlien HP, Weber B. Percutaneous endoscopic laser discectomy (PELD). A new surgical technique for non-sequestrated lumbar discs. Acta Neurochir Suppl (Wien) 1992, 54:53–8
Mathews HH. Transforaminal endoscopic microdiscectomy. Neuro-surg Clin N Am 1996, 7(1):59–63
Foley KT, Smith MM, Rambersaud YR. Microendoscopic app-roach to far lateral lumbar disc herniations. Neurosurg Focus 1999, 7(5):e5
Perez-Cruet MJ, Foley KT, Isaacs RE, Rice-Wyllie L, Wellington R, Smith MM, Fessler RG. Microendoscopic lumbar discectomy: technical note. Neurosurgery 2002, 51(5Suppl):S129–36
Hermantin FU, Peters T, Quartararo L, Kambin P. A prospective, randomized study comparing the results of open discectomy with those of video-assisted arthroscopic microdiscectomy. J Bone Joint Surg 1999, 81(7):958–65
Muramatsu K, Hachiya Y, Morita C. Postoperative magnetic resonance imaging of lumbar disc herniation: comparison of microendoscopic discectomy and Love’s method. Spine 2001, 26:1599–605
Palmer S. Use of a tubular retractor system in microscopic lumbar discectomy: 1 year prospective results in 135 patients. Neurosurg Focus 2002, 13(2):E5
Cervellini P, De Luca GP, Mazzetto M, Colombo F. Microendoscopic discectomy (MED) for far lateral disc herniation in the lumbar spine. Technical note. Acta Neurochir Suppl 2005, 92:99–101
Guiot BH, Khoo LT, Fessler RG. A minimally invasive technique for decompression of the lumbar spine. Spine 2002, 27:432–8
Palmer S, Turner R, Palmer R. Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system. J Neurosurg 2002, 97(2 Suppl):213–7
Schick U, Dohnert J, Richter A, Konig A, Vitzthum H. Micro-endoscopic lumbar discectomy versus open surgery: an intraoperative EMG study. Eur Spine J 2002, 11(1):20–6
Huang TJ, Hsu RW, Li YY, Cheng CC. Less systemic cytokine response in patients following microendoscopic versus open lumbar discectomy. J Orthop Res 2005, 23(2):406–11
Rosen DS, O’Toole JE, Eichholz KM, Hrubes M, Huo D, Sandhu FA, Fessler RG. Minimally invasive lumbar spinal decompression in the elderly: outcomes of 50 patients aged 75 years and older. Neurosurgery 2007, 60(3):503–9; discussion 509–10
Isaacs RE, Podichetty V, Fessler RG. Microendoscopic discectomy for recurrent disc herniations. Neurosurg Focus 2003, 15(3):E11
Ahn Y, Lee SH, Park WM, Lee HY, Shin SW, Kang HY. Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome, and prognostic factors of 43 consecutive cases. Spine 2004, 29(16):E326–32
Sandhu FA, Santiago P, Fessler RG, Palmer S. Minimally invasive surgical treatment of lumbar synovial cysts. Neurosurgery 2004, 54(1):107–11; discussion 111–2
Sehati N, Khoo LT, Holly LT. Treatment of lumbar synovial cysts using minimally invasive surgical techniques. Neurosurg Focus 2006, 20(3):E2
Tredway TL, Santiago P, Hrubes MR, Song JK, Christie SD, Fessler RG. Minimally invasive resection of intradural-extramedullary spinal neoplasms. Neurosurgery 2006, 58(1 Suppl):ONS52–8; discussion ONS52–8
Regan JJ, Yuan H, McAfee PC. Laparoscopic fusion of the lumbar spine: minimally invasive spine surgery. A prospective multicenter study evaluating open and laparoscopic lumbar fusion. Spine 1999, 24(4):402–11
Kleeman TJ, Ahn UM, Talbot-Kleeman A. Laparoscopic anterior lumbar interbody fusion with rhBMP-2: a prospective study of clinical and radiographic outcomes. Spine 2001, 26(24):2751–6
Escobar E, Transfeldt E, Garvey T, et al. Video assisted versus open anterior lumbar spine fusion surgery: a comparison of four techniques and complications in 135 patients. Spine 2003, 28:729–32
Isaacs RE, Podichetty VK, Santiago P, Sandhu FA, Spears J, Kelly K, Rice L, Fessler RG. Minimally invasive microendoscopy-assisted transforaminal lumbar interbody fusion with instrumentation. J Neurosurg Spine 2005, 3(2):98–105
Park Y, Ha JW. Comparison of one level posterior lumbar interbody fusion performed with a minimally invasive approach or a traditional open approach. Spine 2007, 32(5):537–43
Schwender JD, Holly LT, Rouben DP, Foley KT. Minimally invasive transforminal lumbar interbody fusion: technical feasibility and initial results. J Spinal Disord Tech 2005, 18:Suppl: S1–6
Scheufler KM, Dohmen H, Vougioukas VI. Percutaneous transforminal lumbar interbody fusion for the treatment of degenerative lumbar instability. Neurosurgery 2007, 60(4) :(Operative Neuro-surgery Supplement 2):203–13
MacMillan M, Fessler RG, Gillespy M, Montgomery WJ. Percutaneous lumbosacral fixation and fusion: anatomic study and two-year experience with a new method. Neurosurg Clin of N Am 1996, 7(1):99–106
Bergey DL, Villavicencio AT, Goldstein T, Regan JJ. Endoscopic lateral transpsoas approach to the lumbar spine. Spine 2004, 29(15):1681–8
Roh SW, Kim DH, Cardoso AC, Fessler RG. Endoscopic foraminotomy using MED system in cadaveric specimens. Spine 2000, 25(2):260–4
Fessler RG, Khoo LT. Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery 2002, 51(5 Suppl 2):S37–S45
Adamson TE. Microendoscopic posterior cervical laminoforaminotomy for unilateral radiculopathy: results of a new technique in 100 cases. J Neurosurg 2001, 95(1 Suppl):51–7
Yabuki S, Kikuchi S. Endoscopic partial laminectomy for cervical myelopathy. J Neurosurg Spine 2005, 2(2):170–4
Wang MY, Green BA, Coscarella E, et al. Minimally invasive cervical expansile laminoplasty: an initial cadaveric study. Neurosurgery 2003, 52:370–73
Wang MY, Levi A. Minimally invasive lateral mass screw fixation in the cervical spine: initial clinical experience with long-term follow-up. Neurosurgery 2006, 58(5):907–12
Isaacs RE, Podichetty VK, Sandhu FA, Santiago P, Spears JD, Aaro-nson O, Kelly K, Hrubes M, Fessler RG. Thoracic microendoscopic discectomy: a human cadaver study. Spine 2005, 30(10):1226–31
Perez-Cruet MJ, Kim BS, Sandhu F, Samartzis D, Fessler RG. Thoracic microendoscopic discectomy. J Neurosurg Spine 2004, 1(1):58–63
Han PP, Kenny K, Dickman CA. Thoracoscopic approaches to the thoracic spine: experience with 241 surgical procedures. Neuro-surgery 2002, 51(5 Suppl):S88–95
Rosenthal D, Dickman CA. Thoracoscopic microsurgical excision of herniated thoracic discs. J Neurosurg 1998, 89(2):224–35
Beisse R, Muckley T, Schmidt MH, Hauschild M, Buhren V. Surgical technique and results of endoscopic anterior spinal canal decompression. J Neurosurg Spine 2005, 2(2):128–36
Khoo LT, Beisse R, Potulski M. Thoracoscopic-assisted treatment of thoracic and lumbar fractures: a series of 371 consecutive cases. Neurosurgery 2002, 51(5 Suppl):S104–17
Nymberg SM, Crawford AH. Video-assisted thoracoscopic releases of scoliotic anterior spines. AORN J 1996, 63(3):561–2, 565–9; 571–5
Picetti GD III, Pang D, Bueff HU. Thoracoscopic techniques for the treatment of scoliosis: early results in procedure development. Neurosurgery 2002, 51(4):978–84; discussion 984
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Lee, M.C., Fox, K., Fessler, R.G. (2010). Minimally Invasive Spinal Surgery: Evidence-Based Review of the Literature. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76608-9_65
Download citation
DOI: https://doi.org/10.1007/978-0-387-76608-9_65
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-76607-2
Online ISBN: 978-0-387-76608-9
eBook Packages: MedicineMedicine (R0)