Publication

Minimal-invasive lumbale Wirbelsäulenchirurgie: historischer Rückblick, aktueller Stand und Ausblick

Journal Paper/Review - Oct 1, 2014

Units
PubMed
Doi
Contact

Citation
Gautschi O, Stienen M, Corniola M, Schaller K. Minimal-invasive lumbale Wirbelsäulenchirurgie: historischer Rückblick, aktueller Stand und Ausblick. Praxis (Bern 1994) 2014; 103:1323-9.
Type
Journal Paper/Review (English)
Journal
Praxis (Bern 1994) 2014; 103
Publication Date
Oct 1, 2014
Issn Print
1661-8157
Pages
1323-9
Brief description/objective

Lumbar spine surgery has been performed for decades using the so-called «dorsal open approach». Although established as a safe and effective procedure, it is associated to some extent with extensive collateral damage in the area of the operative field. For over ten years, minimal-invasive spine surgery (MISS) techniques, which are considerably less destructive and less traumatic, have earned their place as valuable and at times superior to the established dorsal open approach. Advantages include smaller skin incisions, less soft tissue and muscle damage, less peri-operative blood loss, lower infection rates, earlier postoperative return to function or work as well as shorter hospital stays. All these advantages, however, have to be carefully balanced against the potential disadvantages of MISS techniques, notably reduced orientation, steep learning curves, and increased radiation exposure from repeated imaging for guidance. This article gives an overview about the evolution and current role of MISS in lumbar spine surgery.