Our Summary

This research paper discusses a hybrid surgical technique known as the MIS PSO, which combines less-invasive methods with traditional open spine surgery to treat adult spinal deformities. This approach allows for the correction of spinal abnormalities in two different ways, even for patients with a fixed spine. At the same time, it minimizes the usual negative effects of traditional open surgery by preserving the soft tissues and reducing blood loss. The paper details the steps involved in this surgery and reviews the authors’ experiences with it.

FAQs

  1. What is the MIS PSO approach in spinal surgery?
  2. How does the MIS PSO approach minimize the morbidity of traditional open spinal surgery?
  3. What kind of spinal deformities can be corrected with the MIS PSO approach?

Doctor’s Tip

A helpful tip a doctor might give a patient about spinal surgery is to follow the post-operative care instructions closely, including proper wound care, physical therapy exercises, and restrictions on activities to ensure a successful recovery and optimal outcomes. It is also important to attend all follow-up appointments and communicate any concerns or changes in symptoms to your healthcare provider promptly.

Suitable For

Patients who are typically recommended for spinal surgery include those with severe spinal deformities, such as scoliosis or kyphosis, that are causing significant pain, neurological symptoms, or functional limitations. These patients may have tried conservative treatments such as physical therapy or pain management without success. Additionally, patients with spinal fractures, degenerative disc disease, spinal stenosis, or other conditions that are not responding to non-surgical treatments may also be candidates for spinal surgery. Ultimately, the decision to recommend spinal surgery is based on the individual patient’s specific condition, symptoms, and overall health.

Timeline

Before spinal surgery:

  1. Patient undergoes initial consultation with a spine specialist to discuss treatment options.
  2. Diagnostic tests such as X-rays, MRI, and CT scans are performed to evaluate the extent of the spinal deformity.
  3. Pre-operative assessment is conducted to ensure the patient is medically fit for surgery.
  4. Patient receives pre-operative instructions on how to prepare for surgery, including fasting and medication guidelines.

After spinal surgery:

  1. Patient is transferred to the recovery room immediately after surgery for monitoring.
  2. Pain management techniques are implemented to ensure patient comfort.
  3. Physical therapy is initiated to help the patient regain strength and mobility.
  4. Follow-up appointments are scheduled to monitor the patient’s progress and address any concerns.
  5. Patient is advised on post-operative care, including restrictions on activities and proper wound care.
  6. Over time, the patient will experience improvements in pain levels, mobility, and overall quality of life as the spine heals and the deformity is corrected.

What to Ask Your Doctor

  1. What are the benefits of minimally invasive pedicle subtraction osteotomy (MIS PSO) compared to traditional open spinal surgery for treating my spinal deformity?
  2. What are the potential risks and complications associated with MIS PSO surgery?
  3. How long is the recovery time after MIS PSO surgery, and what kind of post-operative care will be needed?
  4. Will I need physical therapy or rehabilitation after the surgery, and for how long?
  5. How successful is MIS PSO surgery in correcting spinal deformities, and what are the long-term outcomes?
  6. Are there any alternative treatment options to consider before undergoing MIS PSO surgery?
  7. How many MIS PSO procedures have you performed, and what is your success rate?
  8. What is the expected timeline for planning and scheduling the surgery?
  9. Will I need any additional testing or imaging before the surgery?
  10. Are there any lifestyle changes or restrictions I should be aware of before and after the surgery?

Reference

Authors: Ayling OGS, Wang MY. Journal: Neurosurg Clin N Am. 2023 Oct;34(4):653-658. doi: 10.1016/j.nec.2023.06.011. Epub 2023 Jul 26. PMID: 37718111