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논문 기본 정보

자료유형
학술저널
저자정보
Blake I. Boadi (Department of Neurological Surgery, New York Presbyterian Hospital/Och Spine, Weill Cornell Medicine) Chibuikem Anthony Ikwuegbuenyi (Department of Neurological Surgery, New York Presbyterian Hospital/Och Spine, Weill Cornell Medicine) Sean Inzerillo (College of Medicine, SUNY Downstate Health Sciences University) Gabrielle Dykhouse (Weill Cornell Medical College, Weill Cornell Medicine) Rachel Bratescu (Department of Neurological Surgery, New York Presbyterian Hospital/Och Spine, Weill Cornell Medicine) Mazin Omer (Department of Neurosurgery, University of Freiburg) Osama N. Kashlan (Department of Neurological Surgery, New York Presbyterian Hospital/Och Spine, Weill Cornell Medicine) Galal Elsayed (Department of Neurological Surgery, New York Presbyterian Hospital/Och Spine, Weill Cornell Medicine) Roger Härtl (Department of Neurological Surgery, New York Presbyterian Hospital/Och Spine, Weill Cornell Medicine)
저널정보
대한척추신경외과학회 Neurospine Neurospine Vol.21 No.3
발행연도
2024.9
수록면
770 - 803 (34page)

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초록· 키워드

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Objective: Minimally invasive spine surgery (MISS) employs small incisions and advanced techniques to minimize tissue damage while achieving similar outcomes to open surgery. MISS offers benefits such as reduced blood loss, shorter hospital stays, and lower costs. This review analyzes complications associated with MISS over the last 10 years, highlighting common issues and the impact of technological advancements. Methods: A systematic review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines was conducted using PubMed, MEDLINE, Embase via OVID, and Cochrane databases, covering publications from January 2013 to March 2024. Keywords related to MISS and complications were used. Studies on adult patients undergoing MISS with tubular, uniportal, or biportal endoscopy, reporting intraoperative or postoperative complications, were included. Non-English publications, abstracts, and small case series were excluded. Data on MISS approach, patient demographics, and complications were extracted and reviewed by 2 independent researchers. Results: The search identified 880 studies, with 137 included after screening and exclusions. Key complications in cervical MISS were hematomas, transient nerve root palsy, and dural tears. In thoracic MISS, complications included cerebrospinal fluid leaks and durotomy. In lumbar MISS, common complications were incidental dural injuries, postoperative neuropathic conditions, and disc herniation recurrences. Complications varied by surgical approach. Conclusion: MISS offers reduced anatomical disruption compared to open surgery, potentially decreasing nerve injury risk. However, complications such as nerve injuries, durotomies, and hardware misplacement still occur. Intraoperative neuromonitoring and advanced technologies like navigation can help mitigate these risks. Despite variability in complication rates, MISS remains a safe, effective alternative with ongoing advancements enhancing its outcomes.
#Minimally invasive spine surgery #Complications #Systematic review

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