Narain Ankur S, Hijji Fady Y, Markowitz Jonathan S, Kudaravalli Krishna T, Yom Kelly H, Singh Kern
Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison St. Suite #300, Chicago, IL, 60612, USA.
Curr Rev Musculoskelet Med. 2017 Dec;10(4):559-566. doi: 10.1007/s12178-017-9446-z.
The purpose of this study is to summarize the recent literature investigating the use of minimally invasive (MIS) techniques in the treatment of lumbar degenerative stenosis, spondylolisthesis, and scoliosis.
MIS lumbar decompression and fusion techniques for degenerative pathology are associated with reduced operative morbidity, shortened length of hospital stay, and reduced postoperative pain and narcotics utilization. Recent studies with long-term clinical follow-up have demonstrated equivalence in clinical outcomes between open and MIS surgical procedures. Radiographically, MIS procedures provide adequate postoperative correction of coronal alignment. Correction of sagittal alignment, however, is more variable based on current reports. MIS techniques are both safe and effective in the treatment of lumbar degenerative pathologies. While some studies have reported on long-term outcomes and costs associated with MIS procedures, more investigation into these topics is still necessary. Additionally, further work is required to analyze the training requirements and learning curves of MIS procedures to better promote adoption amongst surgeons.
本研究旨在总结近期有关微创（MIS）技术在腰椎退变性狭窄、腰椎滑脱和脊柱侧凸治疗中应用的文献。
用于退行性病变的MIS腰椎减压和融合技术与手术发病率降低、住院时间缩短以及术后疼痛和麻醉药物使用减少相关。近期的长期临床随访研究表明，开放手术和MIS手术的临床结果相当。在影像学方面，MIS手术能在术后提供足够的冠状面矫正。然而，根据目前的报告，矢状面矫正的情况则更具变异性。MIS技术在治疗腰椎退行性病变方面既安全又有效。虽然一些研究报告了与MIS手术相关的长期结果和成本，但仍需要对这些主题进行更多研究。此外，还需要进一步开展工作来分析MIS手术的培训要求和学习曲线，以更好地促进外科医生采用该技术。
