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SPINE SURGERY - PART II
Journal of Neurosurgical Sciences 2012 June;56(2):97-103
Copyright © 2012 EDIZIONI MINERVA MEDICA
lingua: Inglese
Minimal access to the posterolateral lumbar spine
Hnenny L. 1, Fourney D. R. 2 ✉
1 Division of Neurosurgery, Department of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada; 2 Division of Neurosurgery, Department of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
The purported advantages of minimally invasive spine surgery over open microsurgical alternatives for lumbar decompression and fusion are attractive to patients, surgeons, and hospital administrators. Shorter hospital length of stay, less blood loss, shorter operating times, decreased use of postoperative narcotic analgesics, and a more rapid return to work have all been touted as advantages. In this review, we describe step-by-step techniques for minimal access posterolateral lumbar decompression and fusion. Key learning tasks for the introduction of each technique into practice are highlighted. The current quality of evidence for each approach is also critically evaluated.