Minimally invasive spine surgery: An alternate corridor for various spinal procedures – Our institute experience
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction Minimally invasive spine procedures are minimally destructive procedures which minimizes surgery related morbidity by avoiding excessive muscle dissection and reduce tissue trauma during surgery The indications of these procedures are increased significantly these daysAim To report our experience with minimally invasive spine surgery for various spinal proceduresMaterials and Methods This is an observational study done from 2016 to 2018 in the department of Neurosurgery Government medical college Thrissur We randomly selected 35 patients who underwent various minimally invasive spine procedures which include 15 lumbar discectomy 9 L5S1 5 L45 1 L34 10 pedicle screw fixation both dorsal and lumbar and 10 IDEM spinal tumoursResults Mean age of patients was 4572 years Most of them were in between 20 to 60 years of age with 20 males 5714 and 15 females 4285 Mean blood loss was 105 ml for discectomy 125 ml for pedicle screw fixation and 154 ml for IDEM tumour excision and no patient required blood transfusion Average duration of procedure was 95 minutes for disc prolapse 150 minutes for fracture fixation and 190 minutes for spine tumour excision Average number of shots of C arm exposure was 6 for IVDP 38 for fracture fixation and 6 for spine tumour excision All Junior neurosurgeons of our department performed at least one discectomy or pedicle screw fixation without much difference in duration or outcome but surgeons with enough experience in open spinal procedures or spine tumour excision were required for all spine tumour excision cases Improved pain score was noted during post operative period Two patients developed CSF leak and mild postoperative wound infection which was managed conservatively No patient developed new onset neurological deficits bowel or bladder involvement in the post operative periodConclusions We observed that minimally invasive spine surgery is safe and less destructive The procedure is fast and associated with minimal morbidity and no mortality We also noticed that there is increased risk for radiation associated with minimally invasive pedicle screw fixation There is no significant learning curve associated with pedicle screw fixation or lumbar discectomy but it is significant in case of minimally invasive spine tumour excisionKeywords Minimally invasive Spine surgery Tubular retractor
Authors and Affiliations
Sreenath K, Bijukrishnan R, Shaji U. A
Keywords
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- EP ID EP490487
- DOI 10.18231/2455-8451.2018.0046
- Views 79
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