Safety and effectiveness of minimally invasive scoliosis surgery for adolescent idiopathic scoliosis: a retrospective case series of 84 patients

Minimally Invasive Scoliosis Surgery Is a Feasible Option for Management of Idiopathic Scoliosis and Has Equivalent Outcomes to Open Surgery: A Meta-Analysis

“…Traditional open techniques are considered the gold standard for the surgical management of scoliosis, though as minimally invasive spine surgery is becoming more widely practiced it is being increasingly applied to pediatric deformity correction. [15][16][17][18][19][20] This meta-analysis was conducted to evaluate the differences in outcomes between open and MIS deformity correction and found that MISS is associated with less blood loss but longer operative times compared to traditional open fusion for AIS, while demonstrating similar outcomes in terms of curve correction, postoperative pain, LOS, and complications/reoperations. MISS is emerging as a feasible tool in deformity correction, particularly in adult populations.…”

“…[21][22][23][24] More recently, several studies have demonstrated similar success in the treatment of AIS with minimally invasive techniques. 8,9,12,[14][15][16] Theoretical advantages include reduced soft tissue trauma, decreased blood loss, less postoperative pain, shorter hospital LOS, and fewer infections. 16 However, it is unclear if the limited exposure associated with MIS techniques limits the ability to perform an adequate correction.…”

“…The most commonly reported complications in both groups were instrumentation-related, surgical site infection or wound dehiscence, and anemia. 12,14,15,16 Finally, as with any surgical procedure and technique, appropriate patient selection is paramount. Though minimally invasive surgery has many benefits, by definition there is less soft tissue dissection and exposure and therefore it may not be suitable for more severe deformities.…”

“…11,12 Though it offers these theoretical advantages, this less invasive approach can be more technically demanding and may rely, to a greater extent, on intraoperative imaging with potential for increased radiation exposure to the patient and staff. While there have been reports of acceptable outcomes associated with minimally invasive correction of AIS, 8,9,[12][13][14][15][16] to our knowledge no direct comparison between MISS and traditional open surgery has been conducted and the differences between these 2 approaches remains largely unclear. The aim of this meta-analysis is to review the literature comparing outcomes between MISS and traditional posterior instrumentation and fusion in the correction of AIS.…”

Letter to the Editor concerning “Safety and effectiveness of minimally invasive scoliosis surgery for adolescent idiopathic scoliosis: a retrospective case series of 84 patients” by Yang JH, et al. (Eur Spine J; [2020] 29:761–769)

“…We read an article published in the April, 2020 issue of your journal by Yang JH, et al titled "Safety and effectiveness of minimally invasive scoliosis surgery for adolescent idiopathic scoliosis: a retroactive series of 84 patients" and analyzed it in detail [1].…”