Minimal invasive surgery techniques for patients with adolescent idiopathic and early onset scoliosis

Abstract

Objective: Provide an update on minimal invasive surgery (MIS) techniques for surgical management of pediatric spine. Methods: Minimal Invasive surgery for pediatric spine deformity has evolved significantly over the past decade. We include updated information about the surgical management of patients with adolescent idiopathic and Early Onset Scoliosis through MIS techniques. We take into consideration the implementation of this technique in Low-to-Middle Income Countries (LMICs). Results: Although MIS began as a technique in adult and degenerative spine, recent publications on MIS in pediatric spine cases report benefits of decreased blood loss and infection incidence, and cosmetic advantages from fewer incision numbers. Adoption of MIS techniques in pediatric spine can be facilitated with pre-and intraoperative use of pertinent medical systems. Conclusion: With appropriate considerations and training, MIS is a safe procedure for pediatric spine correction surgery and can be applicable in LMICs.

Less correction with minimally invasive surgery for adolescent idiopathic scoliosis compared to open surgical correction

“…Moreover, the results indicate that the volume of blood loss correlated with the duration of operation, both after OSC and MIS treatment or number of vertebrae fused after MIS, which roughly corresponds to the values of other studies. 18,19 Compared to previous data from other scientists with a similar initial group, MIS in our study showed higher operative blood loss, but better coronal curve correction results. As in our study, the operative blood loss was 218.3 ± 17.1 mL with a corrected angle of 76.1 ± 11.1 as compared to that published by other authors who had an operative blood loss of 138.75 ± 50.04 mL with corrected angle of 68.25% ± 6.1 %.…”