Our Summary

This research paper discusses the challenges and learning curve that come with minimally invasive spine surgery. This type of surgery, while beneficial for patients due to its less invasive nature and fewer post-surgery complications, is difficult for new surgeons to master.

The complexity of the surgery is measured by looking at operating times, the need to switch to traditional open surgery, pain scores, and length of hospital stay. The study found that most complications were reduced after the surgeon had completed around 30 surgeries.

The paper also notes the difficulties of this surgery type, such as working in a small space, not being able to touch the area being operated on, and having to use two-dimensional imagery.

To overcome these challenges, the paper suggests using the right tools, having a well-trained team, and working with an experienced radiographer. It also recommends structured training with cadavers and lots of practice under the supervision of an experienced surgeon. The learning curve can be reduced if the surgeon has the right knowledge, understands the three-dimensional structure of the spine, and has good hand-eye coordination.

FAQs

  1. What are the challenges faced by new surgeons learning minimally invasive spine surgery?
  2. How many surgeries does it typically take for a surgeon to reduce most complications associated with minimally invasive spine surgeries?
  3. What does the research paper suggest to overcome the challenges of minimally invasive spine surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about minimally invasive surgery is to follow post-operative instructions carefully to ensure a smooth recovery process. This may include avoiding heavy lifting, taking prescribed medications as directed, attending follow-up appointments, and participating in physical therapy if recommended. By following these guidelines, patients can help optimize their outcomes and minimize the risk of complications.

Suitable For

Overall, minimally invasive spine surgery is typically recommended for patients who are good candidates for this type of procedure. These patients may include those with conditions such as herniated discs, spinal stenosis, degenerative disc disease, and spondylolisthesis.

Patients who are generally healthy, have a stable spine, and have not had previous spinal surgeries may be good candidates for minimally invasive spine surgery. Additionally, patients who are looking for a quicker recovery time, less post-operative pain, and smaller incisions may also benefit from this type of surgery.

It is important for patients to discuss their individual case with a spine surgeon to determine if they are a good candidate for minimally invasive spine surgery. The surgeon will consider factors such as the patient’s overall health, the specific condition being treated, and the complexity of the surgery when making a recommendation.

Timeline

Before minimally invasive surgery:

  1. Patient consults with a surgeon to discuss treatment options and determine if minimally invasive surgery is appropriate.
  2. Pre-operative testing and evaluation are conducted to ensure the patient is a suitable candidate for the surgery.
  3. Patient undergoes pre-operative preparation, which may include instructions on fasting, medication adjustments, and lifestyle changes.
  4. Surgery date is scheduled and patient arrives at the hospital or surgical center on the day of the procedure.

After minimally invasive surgery:

  1. Patient is brought into the operating room and anesthesia is administered.
  2. Surgeon makes small incisions and uses specialized instruments to perform the surgery.
  3. Surgery is completed, and patient is taken to the recovery area for monitoring.
  4. Patient may experience less pain, reduced scarring, and a shorter recovery time compared to traditional open surgery.
  5. Post-operative care instructions are provided, including information on pain management, wound care, and activity restrictions.
  6. Patient is discharged from the hospital or surgical center and follows up with the surgeon for post-operative appointments.
  7. Patient undergoes rehabilitation and physical therapy to aid in recovery and regain function.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with minimally invasive spine surgery?

  2. How many minimally invasive spine surgeries have you performed, and what is your success rate?

  3. How long is the recovery time for minimally invasive spine surgery compared to traditional open surgery?

  4. Will I need physical therapy or rehabilitation after minimally invasive spine surgery?

  5. How does minimally invasive spine surgery differ from traditional open surgery in terms of pain management and post-operative care?

  6. What type of anesthesia will be used during the minimally invasive spine surgery?

  7. Will there be any scarring or visible marks after the minimally invasive spine surgery?

  8. How soon can I return to normal activities and work after minimally invasive spine surgery?

  9. Are there any specific lifestyle changes or precautions I need to take before or after minimally invasive spine surgery?

  10. What is the success rate of minimally invasive spine surgery for my specific condition, and what are the long-term outcomes I can expect?

Reference

Authors: Sharif S, Afsar A. Journal: World Neurosurg. 2018 Nov;119:472-478. doi: 10.1016/j.wneu.2018.06.094. Epub 2018 Jun 20. PMID: 29935319