Comparison of One-Level Posterior Lumbar Interbody Fusion Performed With a Minimally Invasive Approach or a Traditional Open Approach

Park, Yung; Ha, Joong Won

doi:10.1097/01.brs.0000256473.49791.f4

Cited by 389 publications

(306 citation statements)

References 14 publications

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“…This resulted in injury to neurologic structures, multiple durotomies, wrong-level procedures, and unintended removal of facet joint structures in the initial series of patients. Multiple authors argue the key step in overcoming the MIS learning curve is an ideal entry point and trajectory during the surgical approach [1,19,23]. Dhall et al [1] and Park and Ha [19] both assert that a correct initial placement of the tubular dilator during the MIS TLIF approach prevents intraoperative readjustments, which can lead to a high rate of neurologic injury and inadequate decompression.…”

Section: Discussionmentioning

confidence: 99%

“…Manual review of the reference sections of included studies yielded eight additional publications that met inclusion criteria and were included in this review. Thus, a total of 15 articles were included in our systematic review, none of which were case reports [1,3,6,8,11,12,15,16,18,19,21,[23][24][25]27] (Table 1).…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

“…We included nine publications with Level IV evidence (case series without comparison group) [3,6,12,15,16,21,23,24,27], four with Level III evidence (retrospective comparative study) [1,8,11,18], and two with Level II evidence (prospective comparative study) [19,25].…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

“…Results from 99 MIS TLIF procedures (60 prospective, 39 retrospective) were included from five publications [1,8,11,19,25] (Table 1). The evidence was classified as Level II in two of these studies [19,25] and as Level III in three studies [1,8,11].…”

Section: Mis Tlifmentioning

confidence: 99%

“…The evidence was classified as Level II in two of these studies [19,25] and as Level III in three studies [1,8,11].…”

Section: Mis Tlifmentioning

confidence: 99%

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Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

Sclafani

Kim

2014

Clinical Orthopaedics &Amp; Related Research

207

167

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Background There is an inherently difficult learning curve associated with minimally invasive surgical (MIS) approaches to spinal decompression and fusion. The association between complication rate and the learning curve remains unclear. Questions/purposes We performed a systematic review for articles that evaluated the learning curves of MIS procedures for the spine, defined as the change in frequency of complications and length of surgical time as case number increased, for five types of MIS for the spine. Methods We conducted a systematic review in the PubMed database using the terms ''minimally invasive spine surgery AND complications AND learning curve'' followed by a manual citation review of included manuscripts. Clinical outcome and learning curve metrics were categorized for analysis by surgical procedure (MIS lumbar decompression procedures, MIS transforaminal lumbar interbody fusion, percutaneous pedicle screw insertion, laparoscopic anterior lumbar interbody fusion, and MIS cervical procedures). As the most consistent parameters used to evaluate the learning curve were procedure time and complication rate as a function of chronologic case number, our analysis focused on these. The search strategy identified 15 original studies that included 966 minimally invasive procedures. Learning curve parameters were correlated to chronologic procedure number in 14 of these studies. Results The most common learning curve complication for decompressive procedures was durotomy. For fusion procedures, the most common complications were implant malposition, neural injury, and nonunion. The overall postoperative complication rate was 11% (109 of 966 cases). The learning curve was overcome for operative time and complications as a function of case numbers in 20 to 30 consecutive cases for most techniques discussed within this review. Conclusions The quantitative assessment of the procedural learning curve for MIS techniques for the spine remains challenging because the MIS techniques have different learning curves and because they have not been assessed in a consistent manner across studies. Complication rates may be underestimated by the studies we identified because surgeons tend to select patients carefully during the early learning curve period. The field of MIS would benefit from a standardization of study design and collected parameters in future learning curve investigations.

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Section: Discussionmentioning

confidence: 99%

Section: Search Strategy and Criteriamentioning

confidence: 99%

Section: Search Strategy and Criteriamentioning

confidence: 99%

Section: Mis Tlifmentioning

confidence: 99%

“…The evidence was classified as Level II in two of these studies [19,25] and as Level III in three studies [1,8,11].…”

Section: Mis Tlifmentioning

confidence: 99%

See 3 more Smart Citations

Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

Sclafani

Kim

2014

Clinical Orthopaedics &Amp; Related Research

207

167

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Minimally invasive renal autotransplantation

Sood

Jeong

Ahlawat

et al. 2015

Journal of Surgical Oncology

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Minimally invasive renal allotransplantation techniques have been recently described; reported benefits include reduced morbidity/complications. These benefits have been successfully adapted for minimally invasive renal autotransplantation, however, in a non-oncological setting. We, here, describe a novel alternative robot-assisted renal autotransplantation technique, utilizing GelPOINT, which by permitting ex vivo graft examination and surgery might allow further broadening of indications for minimally-invasive renal autotransplantation, to include complex oncological renal/ureteral lesions. Future studies are needed to evaluate the utility of these techniques.

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Three‐dimensional image‐guided placement of percutaneous pedicle screws without the use of biplanar fluoroscopy or Kirschner wires: technical note

Nottmeier

Fenton

2010

Robotics Computer Surgery

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Comparison of One-Level Posterior Lumbar Interbody Fusion Performed With a Minimally Invasive Approach or a Traditional Open Approach

Cited by 389 publications

References 14 publications

Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

Minimally invasive renal autotransplantation

Three‐dimensional image‐guided placement of percutaneous pedicle screws without the use of biplanar fluoroscopy or Kirschner wires: technical note

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