Our Summary

This research paper explores a new approach to correcting deformities like scoliosis - a condition where the spine has a sideways curvature. Instead of traditional open surgeries, researchers are looking at minimally invasive surgery (MIS) techniques. These methods cause less damage to the body and can lead to quicker recovery times. One particular technique, called the circumferential MIS approach, is showing promise. It involves surgery from both the front/side and the back. To ensure accuracy during these complex procedures, surgeons use navigation tools, similar to GPS, to guide them.

FAQs

  1. What is minimally invasive surgery (MIS) in the context of deformity correction?
  2. How does the circumferential MIS approach differ from traditional open techniques in surgical correction of deformity?
  3. What role does navigation guidance play in minimally invasive surgery for deformity correction?

Doctor’s Tip

A doctor may tell a patient that minimally invasive surgery typically results in less pain, smaller incisions, shorter hospital stays, and quicker recovery times compared to traditional open surgery. It is important for patients to follow their surgeon’s post-operative instructions carefully to optimize their healing and recovery process.

Suitable For

Patients who are typically recommended for minimally invasive surgery are those with spinal deformities such as scoliosis, kyphosis, or spondylolisthesis. These patients may benefit from MIS techniques that allow for smaller incisions, less tissue damage, faster recovery times, and reduced postoperative pain compared to traditional open techniques. Additionally, patients who are at higher risk for complications with open surgery, such as older adults or those with multiple comorbidities, may also be good candidates for minimally invasive surgery. Utilization of navigation guidance during MIS deformity correction is an important intraoperative tool for the surgeon to ensure accurate and safe placement of instrumentation.

Timeline

Before minimally invasive surgery:

  1. Patient consults with a surgeon to discuss treatment options for their deformity.
  2. Patient undergoes preoperative testing and imaging to assess the extent of the deformity.
  3. Patient may receive preoperative counseling and instructions on how to prepare for surgery.

During minimally invasive surgery:

  1. Surgeon utilizes navigation guidance to plan and execute the procedure.
  2. Small incisions are made, and specialized instruments are used to correct the deformity.
  3. Surgery is completed with minimal disruption to surrounding tissues and muscles.

After minimally invasive surgery:

  1. Patient is monitored in the recovery room before being transferred to a hospital room or discharged home.
  2. Patient may experience less pain and a quicker recovery compared to traditional open surgery.
  3. Patient follows postoperative instructions for wound care, pain management, and physical therapy.
  4. Patient undergoes follow-up appointments with the surgeon to monitor progress and address any concerns.

What to Ask Your Doctor

  1. What are the potential benefits of minimally invasive surgery compared to traditional open surgery for my specific condition?
  2. What are the potential risks or complications associated with minimally invasive surgery?
  3. How experienced are you in performing minimally invasive surgery for my condition?
  4. Will navigation guidance be used during my minimally invasive surgery, and how does it benefit the procedure?
  5. What is the recovery time expected for minimally invasive surgery compared to traditional open surgery?
  6. Are there any long-term outcomes or differences in outcomes between minimally invasive surgery and traditional open surgery for my condition?
  7. Are there any specific pre-operative or post-operative instructions I should follow for minimally invasive surgery?
  8. How will pain management be handled during and after my minimally invasive surgery?
  9. Will I have any restrictions on activities or movements after minimally invasive surgery, and for how long?
  10. Are there any alternative treatment options to consider besides minimally invasive surgery for my condition?

Reference

Authors: Oh T, Park P, Miller CA, Chan AK, Mummaneni PV. Journal: Neurosurg Clin N Am. 2018 Jul;29(3):439-451. doi: 10.1016/j.nec.2018.03.002. PMID: 29933811