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Minimally Invasive Spinal Surgery: Evidence-Based Review of the Literature

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Minimally Invasive Surgery in Orthopedics

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.

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References

  1. Smith L. Chemonucleolysis. Clin Orthop Relat Res 1969 Nov-Dec, 67:72–80

    Article  CAS  PubMed  Google Scholar 

  2. Hijikata S. Percutaneous nucleotomy. A new concept technique and 12 years’ experience. Clin Orthop Relat Res 1989 Jan, 238:9–23

    PubMed  Google Scholar 

  3. Kravenbuhl H, Yasargil MG. Use of the microscope in surgery of the central nervous system. Praxis 1968, 57(7):214–7

    Google Scholar 

  4. 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

    CAS  PubMed  Google Scholar 

  5. 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

    CAS  PubMed  Google Scholar 

  6. Schreiber A, Suezawa Y. Transdiscoscopic percutaneous nucleotomy in disk herniation. Orthop Rev 1986, 15(1):35–8

    CAS  PubMed  Google Scholar 

  7. 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

    CAS  Google Scholar 

  8. Mathews HH. Transforaminal endoscopic microdiscectomy. Neuro-surg Clin N Am 1996, 7(1):59–63

    CAS  PubMed  Google Scholar 

  9. Foley KT, Smith MM, Rambersaud YR. Microendoscopic app-roach to far lateral lumbar disc herniations. Neurosurg Focus 1999, 7(5):e5

    Article  CAS  PubMed  Google Scholar 

  10. 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

    PubMed  Google Scholar 

  11. 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

    CAS  PubMed  Google Scholar 

  12. 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

    Article  CAS  PubMed  Google Scholar 

  13. 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

    Article  PubMed  Google Scholar 

  14. 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

    Article  CAS  PubMed  Google Scholar 

  15. Guiot BH, Khoo LT, Fessler RG. A minimally invasive technique for decompression of the lumbar spine. Spine 2002, 27:432–8

    Article  PubMed  Google Scholar 

  16. 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

    PubMed  Google Scholar 

  17. 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

    Article  CAS  PubMed  Google Scholar 

  18. 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

    Article  CAS  PubMed  Google Scholar 

  19. 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

    Article  PubMed  Google Scholar 

  20. Isaacs RE, Podichetty V, Fessler RG. Microendoscopic discectomy for recurrent disc herniations. Neurosurg Focus 2003, 15(3):E11

    Article  PubMed  Google Scholar 

  21. 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

    Article  PubMed  Google Scholar 

  22. 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

    Article  PubMed  Google Scholar 

  23. Sehati N, Khoo LT, Holly LT. Treatment of lumbar synovial cysts using minimally invasive surgical techniques. Neurosurg Focus 2006, 20(3):E2

    Article  PubMed  Google Scholar 

  24. 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

    PubMed  Google Scholar 

  25. 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

    Article  CAS  PubMed  Google Scholar 

  26. 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

    Article  CAS  PubMed  Google Scholar 

  27. 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

    Article  PubMed  Google Scholar 

  28. 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

    Article  PubMed  Google Scholar 

  29. 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

    Article  PubMed  Google Scholar 

  30. 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

    Article  PubMed  Google Scholar 

  31. 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

    PubMed  Google Scholar 

  32. 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

    CAS  Google Scholar 

  33. Bergey DL, Villavicencio AT, Goldstein T, Regan JJ. Endoscopic lateral transpsoas approach to the lumbar spine. Spine 2004, 29(15):1681–8

    Article  PubMed  Google Scholar 

  34. Roh SW, Kim DH, Cardoso AC, Fessler RG. Endoscopic foraminotomy using MED system in cadaveric specimens. Spine 2000, 25(2):260–4

    Article  CAS  PubMed  Google Scholar 

  35. Fessler RG, Khoo LT. Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery 2002, 51(5 Suppl 2):S37–S45

    PubMed  Google Scholar 

  36. 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

    CAS  PubMed  Google Scholar 

  37. Yabuki S, Kikuchi S. Endoscopic partial laminectomy for cervical myelopathy. J Neurosurg Spine 2005, 2(2):170–4

    Article  PubMed  Google Scholar 

  38. Wang MY, Green BA, Coscarella E, et al. Minimally invasive cervical expansile laminoplasty: an initial cadaveric study. Neurosurgery 2003, 52:370–73

    Article  PubMed  Google Scholar 

  39. 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

    Article  PubMed  Google Scholar 

  40. 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

    Article  PubMed  Google Scholar 

  41. Perez-Cruet MJ, Kim BS, Sandhu F, Samartzis D, Fessler RG. Thoracic microendoscopic discectomy. J Neurosurg Spine 2004, 1(1):58–63

    Article  PubMed  Google Scholar 

  42. 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

    PubMed  Google Scholar 

  43. Rosenthal D, Dickman CA. Thoracoscopic microsurgical excision of herniated thoracic discs. J Neurosurg 1998, 89(2):224–35

    Article  CAS  PubMed  Google Scholar 

  44. 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

    Article  PubMed  Google Scholar 

  45. 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

    PubMed  Google Scholar 

  46. Nymberg SM, Crawford AH. Video-assisted thoracoscopic releases of scoliotic anterior spines. AORN J 1996, 63(3):561–2, 565–9; 571–5

    Article  CAS  PubMed  Google Scholar 

  47. 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

    Article  PubMed  Google Scholar 

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Correspondence to Richard G. Fessler .

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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

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  • DOI: https://doi.org/10.1007/978-0-387-76608-9_65

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