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Neurosurg Clin N Am. 2014 Apr;25(2):361-75. doi: 10.1016/j.nec.2013.12.014. Epub 2014 Jan 28.

Evidence basis/outcomes in minimally invasive spinal scoliosis surgery.

Author information

1
Department of Surgery, Spine Trauma, Spine Center, Cedars Sinai Medical Center, 444 South San Vicente Boulevard, Suite 800, Los Angeles, CA 90048, USA. Electronic address: neel.anand@cshs.org.
2
Department of Neurosurgery, Spine Center, Cedars Sinai Medical Center, 444 South San Vicente Boulevard, Suite 800, Los Angeles, CA 90048, USA.
3
Department of Surgery, Spine Center, Cedars Sinai Medical Center, 444 South San Vicente Boulevard, Suite 800, Los Angeles, CA 90048, USA.

Abstract

Traditional adult scoliosis surgery is associated with long-term patient improvement in clinical and radiographic outcome measures, significant blood loss, and high likelihood of medical complications. Because the patient population undergoing adult scoliosis surgery is often elderly with medical comorbidities, minimally invasive spinal surgery (MISS) for adult scoliosis is theoretically appealing, because it is associated with less tissue trauma and reduced blood loss. Nevertheless, limitations exist with current techniques as far as the achievable degree of coronal and sagittal plane deformity correction. MISS scoliosis correction is reviewed, specifically regarding outcomes and complications. Limitations of current techniques and future directions are discussed.

KEYWORDS:

Adult scoliosis; Evidence basis; Minimally invasive spine surgery; Outcomes

PMID:
24703454
DOI:
10.1016/j.nec.2013.12.014
[Indexed for MEDLINE]
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