Review
Clinical Neurology
Jun Zhang, Tang-Fen Liu, Hua Shan, Zhong-Yuan Wan, Zhe Wang, Omar Viswanath, Antonella Paladini, Giustino Varrassi, Hai-Qiang Wang
Summary: Lumbar spinal stenosis (LSS) is a common disease in the elderly population, often requiring surgery. Minimally invasive spine surgery (MISS), including techniques like endoscopic spine surgery (ESS), is gaining popularity as a potential replacement for traditional open surgery in the treatment of LSS associated with degenerative spondylolisthesis (DS).
Article
Clinical Neurology
Yuto Kobayashi, Koji Tamai, Hiromitsu Toyoda, Hidetomi Terai, Masatoshi Hoshino, Akinobu Suzuki, Shinji Takahashi, Yusuke Hori, Akito Yabu, Hiroaki Nakamura
Summary: Results from a study involving 198 patients with LSS indicate that there was no significant difference in clinical outcomes 5 years after minimally invasive posterior decompression between patients with degenerative spondylolisthesis (DS) and those without DS. Additionally, after carefully excluding patients with segmental instability, DS did not impact the clinical outcomes of minimally invasive decompression surgery.
Article
Clinical Neurology
Pedro Santos Silva, Ana Jardim, Joana Pereira, Rita Sousa, Rui Vaz, Paulo Pereira
Summary: This study compared the outcomes of midline lumbar interbody fusion (MIDLIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in treating patients with severe stenosis and lumbar degenerative spondylolisthesis (DS). The results showed that MIDLIF is a safe and reliable minimally invasive alternative, offering similar clinical and radiological outcomes to MIS-TLIF.
EUROPEAN SPINE JOURNAL
(2023)
Article
Surgery
Stefan Aspalter, Wolfgang Senker, Christian Radl, Martin Aichholzer, Kathrin Aufschnaiter-Hiessboeck, Clemens Leitner, Nico Stroh, Wolfgang Trutschnig, Andreas Gruber, Harald Stefanits
Summary: This study reviewed 187 patients who underwent degenerative lumbar spinal surgery using minimally invasive spinal fusions techniques and found that the rate of ADTs was 11.764%. ADTs were more frequent in cases of previous surgery. The study suggests that MAST provides a certain level of protection in reducing ADTs.
FRONTIERS IN SURGERY
(2021)
Article
Clinical Neurology
Hamidullah Salimi, Hiromitsu Toyoda, Hidetomi Terai, Kentaro Yamada, Masatoshi Hoshino, Akinobu Suzuki, Shinji Takahashi, Koji Tamai, Yusuke Hori, Akito Yabu, Hiroaki Nakamura
Summary: The presence of degenerative spondylolisthesis (DS) or degenerative lumbar scoliosis (DLS) in patients with lumbar spinal stenosis (LSS) does not significantly affect mid-term clinical outcomes after minimally invasive lumbar decompression surgery. Lumbar decompression without fusion can lead to improved lumbar and sagittal spinopelvic alignment in patients with LSS, even with the coexistence of DS or DLS. Minimally invasive surgery can be considered for most patients with LSS.
Article
Health Care Sciences & Services
Kai-Uwe Lewandrowski, Anthony P. Yeung, Morgan Lorio, Huilin Yang, Jorge Felipe Ramirez Leon, Jose Antonio Soriano Sanchez, Rossano Kepler Alvim Fiorelli, Kang Taek Lim, Jaime Moyano, Alvaro Dowling, Juan Marcelo Sea Aramayo, Jeong-Yoon Park, Hyeun-Sung Kim, Jiancheng Zeng, Bin Meng, Fernando Alvarado Gomez, Carolina Ramirez, Paulo Sergio Teixeira De Carvalho, Manuel Rodriguez Garcia, Alfonso Garcia, Eulalio Elizalde Martinez, Iliana Margarita Gomez Silva, Jose Edgardo Valerio Pascua, Luis Miguel Duchen Rodriguez, Robert M. Meves, Cristiano Menezes, Luis Eduardo Carelli, Alexandre Fogaca Cristante, Rodrigo Amaral, Geraldo de Sa Carneiro, Helton Defino, Vicky Yamamoto, Babak Kateb
Summary: Pain generator-based lumbar spinal decompression surgery is considered durable and cost-effective in treating degenerative lumbar spine conditions. Simplified decompression procedures targeting validated pain generators have lower perioperative complications and revision rates. This perspective article summarizes successful management techniques for spinal stenosis patients using transforaminal endoscopic and translaminar minimally invasive spinal surgery, with the consensus of multiple international surgeon societies based on thorough literature review.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Medicine, General & Internal
Ivar M. Austevoll, Erland Hermansen, Morten W. Fagerland, Kjersti Storheim, Jens I. Brox, Tore Solberg, Frode Rekeland, Eric Franssen, Clemens Weber, Helena Brisby, Oliver Grundnes, Knut R. H. Algaard, Tordis Boker, Hasan Banitalebi, Kari Indrekvam, Christian Hellum
Summary: A trial in Norway found that decompression surgery alone was noninferior to decompression with instrumented fusion in terms of the percentage of patients who experienced a 30% reduction in pain and disability scores over a 2-year period, with a noninferiority margin of -15 percentage points.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Review
Clinical Neurology
Gabriel Pokorny, Rodrigo Amaral, Fernando Marcelino, Rafael Moriguchi, Igor Barreira, Marcelo Yozo, Luiz Pimenta
Summary: With the increase in aging population, degenerative lumbar spine diseases are becoming more prevalent. Minimally invasive techniques offer significant advantages in reducing surgical risks and costs.
EUROPEAN SPINE JOURNAL
(2022)
Review
Clinical Neurology
Hongjie Yuan, Xiaobin Yi
Summary: This narrative review aims to clarify the efficacy, safety profile, certain procedure details, advantages, and limitations of MILD for LSS. According to the literature, MILD is an effective and safe procedure that can significantly reduce pain intensity and improve functional status in LSS patients.
JOURNAL OF PAIN RESEARCH
(2023)
Article
Medicine, General & Internal
Erland Hermansen, Ivar Magne Austevoll, Christian Hellum, Kjersti Storheim, Tor Age Myklebust, Jorn Aaen, Hasan Banitalebi, Masoud Anvar, Frode Rekeland, Jens Ivar Brox, Eric Franssen, Clemens Weber, Tore K. Solberg, Havard Furunes, Oliver Grundnes, Helena Brisby, Kari Indrekvam
Summary: This study compared the effectiveness of three minimally invasive posterior decompression techniques for lumbar spinal stenosis and found no differences in clinical outcomes or complication rates among the three techniques.
Article
Medicine, General & Internal
Marina Potasova, Peter Filipp, Robert Rusnak, Eva Moraucikova, Katarina Repova, Peter Kutis
Summary: The study investigates the advantages of MIS-TLIF and compares them with OTLIF. It finds that MIS-TLIF group has significantly better outcomes in terms of blood loss, operation time, and patient's recovery compared to OTLIF group.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Bin Yu, Jin Zhang, Jie Pan, Yizhou Wang, YingGao Chen, Weidong Zhao, Desheng Wu
Summary: The study found that patients undergoing Mis-TLIF for lumbar spinal stenosis experienced less anxiety and better clinical outcomes compared to those undergoing open TLIF. Anxiety levels in Mis-TLIF patients were positively correlated with postoperative VAS and ODI scores.
ORTHOPAEDIC SURGERY
(2021)
Article
Clinical Neurology
Patawut Bovonratwet, Andre M. Samuel, Jung Kee Mok, Avani S. Vaishnav, Kyle W. Morse, Junho Song, Michael E. Steinhaus, Yusef J. Jordan, Catherine H. Gang, Sheeraz A. Qureshi
Summary: This study compared the outcomes of minimally invasive unilateral laminotomy with bilateral decompression (MIS-ULBD) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the treatment of low-grade lumbar degenerative spondylolisthesis. The results showed that both procedures resulted in significant improvements in pain and physical function for the patients.
Article
Medicine, General & Internal
Akinobu Suzuki, Hiroaki Nakamura
Summary: Lumbar spinal stenosis (LSS) is a common disease in the elderly, and decompression surgery is the standard treatment. Traditional total laminectomy may cause post-surgical instability, leading to the development of various minimally invasive techniques. This article provides a narrative review of the indications, surgical techniques, clinical outcomes, and limitations/complications of microendoscopic decompression for LSS, based on available literature and the authors' experience.
MEDICINA-LITHUANIA
(2022)
Article
Clinical Neurology
Ruigang Jia, Xin-Qiang Wang, Yunpeng Zhang, Shaokang Hsueh
Summary: This study demonstrates that minimally invasive laminotomy decompression is an effective surgical procedure for treating DLSS, improving symptoms and maintaining long-term clinical outcomes.
WORLD NEUROSURGERY
(2022)