Wewel Joshua T, Godzik Jakub, Uribe Juan S
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
J Spine Surg. 2019 Jun;5(Suppl 1):S84-S90. doi: 10.21037/jss.2019.04.22.
Minimally invasive spinal surgery (MISS) has evolved as a formidable alternative to traditional open techniques to address adult spinal deformity (ASD). As technology advances, an increasingly large body of techniques and implants are available for use in MISS deformity correction. MISS deformity correction includes anterior, lateral, and posterior techniques that can be tailored to each patient while capturing the strength of each respective technique. Previous limitations of obtaining sagittal correction have been overcome with anterior column realignment (ACR) and the mini-open pedicle subtraction osteotomy. This article will describe current techniques and their application for ASD correction.
微创脊柱手术(MISS)已发展成为治疗成人脊柱畸形(ASD)的一种强大的传统开放技术替代方法。随着技术的进步,越来越多的技术和植入物可用于MISS畸形矫正。MISS畸形矫正包括前路、侧路和后路技术,这些技术可以根据每个患者的情况进行定制,同时发挥各自技术的优势。前路柱重建(ACR)和迷你开放椎弓根截骨术克服了以往矢状面矫正的局限性。本文将描述当前用于ASD矫正的技术及其应用。