Article
Clinical Neurology
Pratyush Shahi, Tejas Subramanian, Omri Maayan, Maximilian Korsun, Sumedha Singh, Kasra Araghi, Nishtha Singh, Tomoyuki Asada, Olivia Tuma, Avani Vaishnav, Evan Sheha, James Dowdell, Sheeraz Qureshi, Sravisht Iyer
Summary: This study aimed to analyze the learning curves of three spine surgeons for robotic minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). The results showed that experienced surgeons may have no or minimal learning curve, while early attendings may require around 21 cases to achieve mastery. The learning curve does not seem to impact clinical outcomes after surgery.
Article
Clinical Neurology
Sang-Min Park, Ho-Jin Lee, Hyun-Jin Park, Jun -Young Choi, Ohsang Kwon, Sanghoon Lee, Ho-Joong Kim, Jin S. Yeom
Summary: This study aimed to compare the clinical efficacy and safety of biportal endoscopic with that of open microscopic discectomy in patients with single-level herniated lumbar discs. The results showed that there was no significant difference in pain and functional recovery between the biportal group and the microscopy group at the 12-month follow-up, indicating the non-inferiority of biportal endoscopic discectomy. The biportal group also had fewer surgery-related adverse events.
Article
Multidisciplinary Sciences
Weijian Wang, Jiaqi Li, Yafei Xu, Yun Luo, Wenyuan Ding, Wei Zhang
Summary: The study investigated the technical aspects of microscope-assisted anterior decompression fusion and introduced a spreader system suitable for minimally invasive anterior lumbar interbody fusion (Mini-ALIF). The study included 42 patients who underwent microscope-assisted Mini-ALIF surgery and found that the technique provided good intraoperative disc exposure and improved postoperative foramen and disc height.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2023)
Article
Oncology
Shigeru Tsunoda, Kazutaka Obama, Shigeo Hisamori, Tatsuto Nishigori, Ryosuke Okamura, Hisatsugu Maekawa, Yoshiharu Sakai
Summary: This retrospective study compared 165 esophageal carcinoma patients who underwent esophagectomy with either RAMIE or conventional MIE. RAMIE had longer operative times but showed better outcomes in terms of postoperative complications and pulmonary complications compared to conventional MIE.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Review
Medicine, General & Internal
Kinsing Ko, Ad F. T. M. Verhagen, Thom L. de Kroon, Wim J. Morshuis, Leen A. F. M. van Garsse
Summary: Minimally invasive mitral valve surgery has rapidly evolved since the early 1990's and is increasingly becoming the standard approach. It has a challenging learning curve and requires considerations of technique, planning, and patient selection.
JOURNAL OF CLINICAL MEDICINE
(2022)
Editorial Material
Clinical Neurology
Gaetano De Biase, Selby Chen, Oluwaseun Akinduro, Alfredo Quinones-Hinojosa, Kingsley Abode-Iyamah
Summary: This video presents a case of awake robotic TLIF surgery, highlighting the benefits of reduced operative time and postoperative discomfort. The use of robotic guidance systems improves accuracy and patient satisfaction in spine surgeries.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Alexander M. Satin, Joseph Albano, Stanley Kisinde, Isador H. Lieberman
Summary: Minimally invasive percutaneous pedicle screws surgery provides stability and fusion through muscle sparing paramedian incisions, often used as adjunctive posterior stabilization after anterior lumbar interbody fusion or lateral lumbar interbody fusion procedures. In some cases, posterior facet fusion may be performed to create more fusion surface. Robotic-guided facet decortication is suggested but currently lacks published techniques.
CLINICAL SPINE SURGERY
(2022)
Article
Clinical Neurology
Hae-Dong Jang, Jae Chul Lee, Jong-Hyeon Seo, Young-Ho Roh, Sung-Woo Choi, Byung-Joon Shin
Summary: This study compared the outcomes of three surgical methods (LLIF, TLIF, and PLIF) for treating L4-L5 single-level spondylolisthesis. The results showed that compared to TLIF and PLIF, LLIF surgery had faster postoperative recovery, less blood loss, and better improvement in radiologic parameters.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Frank J. Yuk, Matthew T. Carr, Alexander J. Schupper, James Lin, Rami Tadros, Peter Wiklund, John Sfakianos, Jeremy Steinberger
Summary: This technical note presents the first reported case of a totally robotic minimally invasive anterior and posterior lumbar fusion and instrumentation. The surgery was successful, with significant improvement of symptoms postoperatively, and radiography confirming appropriate placement of the implants.
WORLD NEUROSURGERY
(2023)
Review
Clinical Neurology
Yong Ahn, Sol Lee, Woo-Kyung Kim, Sang-Gu Lee
Summary: Purpose: To discuss the cutoff point at which technical proficiency is achieved and ways to enhance the learning process for minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). Methods: A systematic review was conducted to identify learning curve studies on MI-TLIF. Results: Nine studies were included, representing 753 cases. The most commonly used outcome measure was the operative time, with a cutoff point of 31.33 +/- 11.98 cases. Conclusion: The learning curve for MI-TLIF may vary depending on the outcome measures used, and the learning rate may be influenced by patient and technical factors. Careful interpretation of the learning curve and proficiency cutoff point is necessary.
EUROPEAN SPINE JOURNAL
(2022)
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
Julia Bergquist, Madeline E. Greil, Siri Sahib S. Khalsa, Yuhao Sun, Osama N. Kashlan, Christoph P. Hofstetter
Summary: This study investigated whether the utilization of a working channel endoscope can mitigate challenges associated with obesity in spine surgery. The results showed that the use of an endoscope can partially mitigate obesity-related complications in lumbar decompression surgery, but obesity is significantly related to increased postoperative analgesic use.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Gaetano De Biase, Andrea Otamendi-Lopez, Selby Chen, Elird Bojaxhi, Shaun E. Gruenbaum, Alfredo Quinones-Hinojosa, Kingsley Abode-Iyamah
Summary: This study investigated the extent of postoperative fatigue and its impact on patients' quality of life and daily activities after minimally invasive spine surgery under general anesthesia. The results showed that during the first month after surgery, 45% of patients experienced significant fatigue, 31% had fatigue that significantly affected their quality of life, and 43% had fatigue that significantly limited their daily activities.
JOURNAL OF CLINICAL NEUROSCIENCE
(2023)
Article
Clinical Neurology
Conor P. Lynch, Elliot D. K. Cha, Kevin C. Jacob, Madhav R. Patel, Nathaniel W. Jenkins, James M. Parrish, Shruthi Mohan, Caroline N. Jadczak, Cara E. Geoghegan, Kern Singh
Summary: The study assessed the feasibility of using VR-12 PCS up to 2 years post-operatively for patients undergoing MIS LD and found significant correlations with SF-12 PCS and PROMIS PF, demonstrating its utility in evaluating patient-reported physical function.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Stanislaw Adamski, Mateusz M. Weclewicz, Marek Roclawski, Rafal Pankowski, Wojciech Kloc
Summary: This study reports a minimally invasive technique, percutaneous occipitocervical fixation, for the treatment of occipitocervical junction instability. The procedure was successfully performed in all patients, with a low rate of pedicle breach and no postoperative complications. The use of intraoperative 3D imaging and navigation was essential for the efficient execution of this technique.
EUROPEAN SPINE JOURNAL
(2022)