Minimally Invasive Surgery for Spinal Metastasis: A Review

被引:8
|
作者
Flynn, Scott C. [1 ]
Eli, Ilyas M. [2 ,3 ]
Ghogawala, Zoher [2 ]
Yew, Andrew Y. [2 ]
机构
[1] Tufts Univ, Sch Med, Boston, MA 02111 USA
[2] Lahey Clin Med Ctr, Dept Neurosurg, Burlington, MA 01803 USA
[3] Univ Utah, Dept Neurosurg, Clin Neurosci Ctr, Salt Lake City, UT USA
关键词
Computer-assisted navigation (CAN); Laser interstitial thermal therapy (LITT); Minimally invasive surgery (MIS); Robot-assisted surgery (RA); INTERSTITIAL THERMAL THERAPY; PEDICLE SCREW PLACEMENT; FLUOROSCOPY-BASED NAVIGATION; SEPARATION SURGERY; RADIATION-THERAPY; IMAGE GUIDANCE; LUMBAR SPINE; FUSION; ACCURACY; METAANALYSIS;
D O I
10.1016/j.wneu.2021.11.097
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: Minimally invasive surgery (MIS) techniques have advanced the treatment of metastatic diseases to the spine. The objective of this review is to describe clinical outcomes, benefits, and complications of these techniques. METHODS: All relevant clinical studies describing the role of MIS, computer-assisted navigation (CAN), robot-assisted (RA) procedures, and laser interstitial thermal therapy (LITT) in the treatment of metastatic spine diseases were identified from PubMed, MEDLINE, and relevant article bibliographies. RESULTS: For MIS articles, we filtered 1480 results and identified 26 studies. For CAN, we searched 464 articles to identify 18 articles for review. For RA, we searched 321 results to identify 7 studies for review. For LITT, we identified 21 articles for review. CONCLUSIONS: MIS for the treatment of spine metastasis has significant potential benefits in reducing surgical site infections, hospital stay, and blood loss without compromising instrument accuracy or overall outcomes. Overall, MIS and its adjuncts have the potential to reduce the risks involved in the treatment of patients with metastatic disease to the spinal column without compromising the benefits of decompression and stabilization of the spine.
引用
收藏
页码:E32 / E39
页数:8
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