Minimally invasive technique experience in axial skeleton (skull, spine, and pelvis)
DOI:
https://doi.org/10.1016/j.rccot.2015.10.002Keywords:
minimally invasive surgery, axial skeleton (skull, spine, and pelvis)Abstract
Background: The technique of minimally invasive surgery forthe axial skeleton (skull, spine, and pelvis) aims to address the target structures and perform therapeutic intervention decreasing soft tissue damage by a less extensive soft tissue dissection, less surgical morbidity allowing a faster post surgical recovery. This technique includes different surgical procedures applicable for the treatment of various pathologies involving the axial skeleton.
Materials and methods: Institutional publications and previous research works related to minimally invasive surgery database were reviewed. This information also was supplemented with patient medical records. The collected case groups were analyzed according to procedures performed and treated pathologies establishing the most representative frequencies for each one. The cohort was analyzed according to socio-demographic, medical and surgical characteristics.
Results: 393 Procedures of minimally invasive surgery were performed: 253 (64.38%) minimal incision, 93 (23.66%) percutaneous surgery, 22 (5.59%) inter-body fusion performed by posterior approach, 13 (3.3%) endoscopic surgery, 6 (1.53%) spinal injections and 6 (1.53%) endoscopy assisted minimal incision. The pathologies were distributed as follows: 223 (56.74%) degenerative, 109 (27.36%) traumatic, 25 (6.36%) deformities, 20 (5.09%) tumor, 16 (4.07%) infectious. The overall rate of complications associated with the technique of minimally invasive surgery found was 5.63% and 2.1% reoperations were also found.
Discussion: Due to the heterogeneity of procedures is difficult to make an overall analysis of the population included. Nevertheless, a descriptive detailed analysis about social demography, clinical and surgical variables was selectively performed in the most representative frequency groups. Prospective studies are required to determine the effectiveness of minimally invasive technique in the axial skeleton.
Evidence level: IV.
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