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RESEARCH PRODUCT

Overview of Minimally Invasive Spine Surgery

Alexander R. VaccaroJose A. CansecoGiovanni GrassoParthik D PatelAlyssa GabayNathan V. Houlihan

subject

medicine.medical_specialtyNeurosurgical Procedures03 medical and health sciences0302 clinical medicineLumbarSpine deformitymedicineHumansMinimally Invasive Surgical ProceduresSagittal alignmentIn patientSpinal Cord Injuriesbusiness.industryGeneral surgeryMinimally invasive spine surgeryNeurovascular bundleSpineCervical spine Spine Lumbar spine Minimally invasive Thoracic spine Value Humans Minimally Invasive Surgical Procedures Neurosurgical Procedures Spinal Cord Injuries Spinal Diseases Spinal FusionSpinal FusionLearning curve030220 oncology & carcinogenesisSpinal DiseasesSurgeryFunctional statusNeurology (clinical)business030217 neurology & neurosurgery

description

Minimally invasive spine surgery (MISS) has continued to evolve over the past few decades, with significant advancements in technology and technical skills. From endonasal cervical approaches to extreme lateral lumbar interbody fusions, MISS has showcased its usefulness across all practice areas of the spine, with unique points of access to avoid pertinent neurovascular structures. Adult spine deformity has also recognized the importance of minimally invasive techniques in its ability to limit complications and to provide adequate sagittal alignment correction and improvements in patients' functional status. Although MISS has continued to make significant progress clinically, consideration must also be given to its economic impact and the learning curve surgeons experience in adding these procedures to their armamentarium. This review examines current innovations in MISS, as well as the economic impact and future directions of the field.

https://doi.org/10.1016/j.wneu.2020.06.043