| Autor: |
Bazin L; Division of Paediatric Orthopaedics, Faculty of Medicine, Geneva University Hospitals, 1211 Geneva, Switzerland., Ansorge A; Department of Spine Surgery, Lucerne Cantonal Hospital, 6000 Lucerne, Switzerland., Vendeuvre T; Department of Orthopedic and Trauma Surgery, University Hospital of Poitiers, 86000 Poitiers, France., Cochard B; Division of Paediatric Orthopaedics, Faculty of Medicine, Geneva University Hospitals, 1211 Geneva, Switzerland., Tabard-Fougère A; Division of Paediatric Orthopaedics, Faculty of Medicine, Geneva University Hospitals, 1211 Geneva, Switzerland., Vazquez O; Division of Paediatric Orthopaedics, Faculty of Medicine, Geneva University Hospitals, 1211 Geneva, Switzerland., De Marco G; Division of Paediatric Orthopaedics, Faculty of Medicine, Geneva University Hospitals, 1211 Geneva, Switzerland., Sarwahi V; Department of Pediatric Orthopedics, Cohen Children's Medical Center, Northwell Health, New Hyde Park, New York, NY 11040, USA., Dayer R; Division of Paediatric Orthopaedics, Faculty of Medicine, Geneva University Hospitals, 1211 Geneva, Switzerland. |
| Abstrakt: |
The posterior minimally invasive spine surgery (MISS) approach-or the paraspinal muscle approach-for posterior spinal fusion and segmental instrumentation in adolescent idiopathic scoliosis (AIS) was first reported in 2011. It is less invasive than the traditionally used open posterior midline approach, which is associated with significant morbidity, including denervation of the paraspinal muscles, significant blood loss, and a large midline skin incision. The literature suggests that the MISS approach, though technically challenging and with a longer operative time, provides similar levels of deformity correction, lower intraoperative blood loss, shorter hospital stays, better pain outcomes, and a faster return to sports than the open posterior midline approach. Correction maintenance and fusion rates also seem to be equivalent for both approaches. This narrative review presents the results of relevant publications reporting on spinal segmental instrumentation using pedicle screws and posterior spinal fusion as part of an MISS approach. It then compares them with the results of the traditional open posterior midline approach for treating AIS. It specifically examines perioperative morbidity and radiological and clinical outcomes with a minimal follow-up length of 2 years (range 2-9 years). |
