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Evolving Paradigms in Spinal Surgery: A Systematic Review of the Learning Curves in Minimally Invasive Spine Techniques.

作者信息

Wu Kun, Yun Zhihe, Suvithayasiri Siravich, Liang Yihao, Setiawan Dimas Rahman, Kotheeranurak Vit, Jitpakdee Khanathip, Giordan Enrico, Liu Qinyi, Kim Jin-Sung

机构信息

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Department of Orthopedics, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand.

出版信息

Neurospine. 2024 Dec;21(4):1251-1275. doi: 10.14245/ns.2448838.419. Epub 2024 Dec 31.


DOI:10.14245/ns.2448838.419
PMID:39765270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11744536/
Abstract

Our research examines the learning curves of various minimally invasive lumbar surgeries to determine the benefits and challenges they pose to both surgeons and patients. The advent of microsurgical techniques since the 1960s, including advances in fluoroscopic navigation and intraoperative computed tomography, has significantly shifted spinal surgery from open to minimally invasive methods. This study critically evaluates surgical duration, intraoperative conversions to open surgery, and complications as primary parameters to gauge these learning curves. Through a comprehensive literature search up to March 2024, involving databases PubMed, Cochrane Library, and Web of Science, this paper identifies a steep learning curve associated with these surgeries. Despite their proven advantages in reducing recovery time and surgical trauma, these procedures require surgeons to master advanced technology and equipment, which can directly impact patient outcomes. The study underscores the need for well-defined learning curves to facilitate efficient training and enhance surgical proficiency, especially for novice surgeons. Moreover, it addresses the implications of technology on surgical accuracy and the subsequent effects on complication rates, providing insights into the complex dynamics of adopting new surgical innovations in spinal health care.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/99920c02ec9f/ns-2448838-419f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/4a5b03ef3a3c/ns-2448838-419f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/980a8995c7a9/ns-2448838-419f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/315d4dc03395/ns-2448838-419f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/dc48ea4734da/ns-2448838-419f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/99920c02ec9f/ns-2448838-419f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/4a5b03ef3a3c/ns-2448838-419f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/980a8995c7a9/ns-2448838-419f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/315d4dc03395/ns-2448838-419f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/dc48ea4734da/ns-2448838-419f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9682/11744536/99920c02ec9f/ns-2448838-419f5.jpg

相似文献

[1]
Evolving Paradigms in Spinal Surgery: A Systematic Review of the Learning Curves in Minimally Invasive Spine Techniques.

Neurospine. 2024-12

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[3]
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[6]
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[7]
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[8]
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[10]
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引用本文的文献

[1]
Current Trends and Future Directions in Lumbar Spine Surgery: A Review of Emerging Techniques and Evolving Management Paradigms.

J Clin Med. 2025-5-13

[2]
Long-Term Outcomes of Minimally Invasive vs. Traditional Open Spinal Fusion: A Comparative Analysis.

J Spine Res Surg. 2025

本文引用的文献

[1]
Unintended dural tears during unilateral biportal endoscopic lumbar surgery: incidence and risk factors.

Acta Neurochir (Wien). 2024-2-21

[2]
Monocentric experience of transforaminal endoscopic lumbar discectomy and foraminotomy outcomes: pushing the indications and avoiding failure. Report of 200 cases.

J Neurosurg Sci. 2024-1-23

[3]
Interlaminar Endoscopic Lumbar Discectomy Versus Microscopic Lumbar Discectomy: A Preliminary Analysis of L5-S1 Lumbar Disc Herniation Outcomes in Prospective Randomized Controlled Trials.

Neurospine. 2023-12

[4]
Predictors of Clinical Failure after Endoscopic Lumbar Spine Surgery During the Initial Learning Curve.

World Neurosurg. 2024-2

[5]
Efficacy of Allograft Versus Bioactive Glass-Ceramic Cage in Anterior Cervical Discectomy and Fusion: A Randomized Controlled Study.

Global Spine J. 2025-3

[6]
Different lumbar fusion techniques for lumbar spinal stenosis: a Bayesian network meta-analysis.

BMC Surg. 2023-11-15

[7]
Long-Term Results of Minimally Invasive Transforaminal Lumbar Interbody Fusion in Elderly Patients: A 5-Year Follow-Up Study.

Global Spine J. 2025-3

[8]
A novel mini-open transforaminal lumbar interbody fusion for lumbar degenerative diseases: technical note and preliminary results.

J Orthop Surg Res. 2023-7-20

[9]
Transforaminal endoscopic lumbar discectomy: learning curve of a single surgeon.

J Spine Surg. 2023-6-30

[10]
Commentary on "Three-Dimensional-Printed Titanium Versus Polyetheretherketone Cages for Lumbar Interbody Fusion: A Systematic Review of Comparative In Vitro, Animal, and Human Studies".

Neurospine. 2023-6

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