Minimally invasive surgery versus standard posterior approach for Lenke Type 1–4 adolescent idiopathic scoliosis: a multicenter, retrospective study

2020 ◽  
Author(s):  
Gao Si ◽  
Tong Li ◽  
Yu Wang ◽  
Xiaoguang Liu ◽  
Chunde Li ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Retrospective Study ◽  
Adolescent Idiopathic Scoliosis ◽  
Minimally Invasive ◽  
Idiopathic Scoliosis ◽  
Invasive Surgery ◽  
Posterior Approach ◽  
Standard Posterior Approach

Clinical and radiological outcomes of minimally-invasive surgery for adolescent idiopathic scoliosis at a minimum two years’ follow-up

2020 ◽  
Vol 102-B (4) ◽  
pp. 506-512 ◽  
Author(s):  
Charlotte de Bodman ◽  
Alexandre Ansorge ◽  
Anne Tabard-Fougère ◽  
Nicolas Amirghasemi ◽  
Romain Dayer
Keyword(s):  
Minimally Invasive Surgery ◽  
Adolescent Idiopathic Scoliosis ◽  
Minimally Invasive ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Invasive Surgery ◽  
Complication Rate ◽  
Posterior Approach ◽  
The Mean

Aims The direct posterior approach with subperiosteal dissection of the paraspinal muscles from the vertebrae is considered to be the standard approach for the surgical treatment of adolescent idiopathic scoliosis (AIS). We investigated whether or not a minimally-invasive surgery (MIS) technique could offer improved results. Methods Consecutive AIS patients treated with an MIS technique at two tertiary centres from June 2013 to March 2016 were retrospectively included. Preoperative patient deformity characteristics, perioperative parameters, power of deformity correction, and complications were studied. A total of 93 patients were included. The outcome of the first 25 patients and the latter 68 were compared as part of our safety analysis to examine the effect of the learning curve. Results In the first 25 cases, with a mean follow-up of 5.6 years (standard deviation (SD) 0.4), the mean preoperative major Cobb angle was 57.6° (SD 9.8°) and significantly corrected to mean 15.4° (SD 5.6°, 73% curve correction). The mean preoperative T5-T12 was 26.2 (SD 12.8) and significantly increased to mean 32.9 (SD 8.3). Both frontal and sagittal plane correction was conserved two years after surgery. The rate of perioperative complications was 12% and three further complications occurred (three deep delayed infection). In the latter cases, 68 patients were included with a mean follow-up time of three years (SD 0.6). The mean preoperative major Cobb angle was 58.4° (SD 9.2°) and significantly corrected to mean 20.4° (SD 7.3°).The mean preoperative T5-T12 kyphosis was 26.6° (SD 12.8°) and was significantly increased to mean 31.4° (SD 8.3°). Both frontal and sagittal correction was conserved two years after surgery. The perioperative (30 day) complication rate was 1.4%. Two (2.9%) additional complications occurred in two patients. Conclusion MIS for AIS is associated with a significant correction of spine deformity in the frontal and sagittal planes, together with low estimated blood loss and short length of stay. The perioperative complication rate seems to be lower compared with the standard open technique based on the literature data. The longer-term safety of MIS for AIS needs to be documented with a larger cohort and compared with the standard posterior approach. Cite this article: Bone Joint J 2020;102-B(4):506–512.

Minimally Invasive Surgery in Patients with Adolescent Idiopathic Scoliosis is Safer, Less Expensive with Similar Curve Correction and SRS-30 Outcomes as Standard PSF

2017 ◽  
Vol 17 (10) ◽  
pp. S234-S235
Author(s):  
Vishal Sarwahi ◽  
Rachel Gecelter ◽  
Stephen Wendolowski ◽  
Jesse M. Galina ◽  
Chhavi Katyal ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Adolescent Idiopathic Scoliosis ◽  
Minimally Invasive ◽  
Idiopathic Scoliosis ◽  
Invasive Surgery ◽  
Curve Correction

Minimally invasive surgery for adolescent idiopathic scoliosis

2017 ◽  
Vol 99-B (12) ◽  
pp. 1651-1657 ◽  
Author(s):  
C. de Bodman ◽  
F. Miyanji ◽  
B. Borner ◽  
P-Y. Zambelli ◽  
G. Racloz ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Adolescent Idiopathic Scoliosis ◽  
Minimally Invasive ◽  
Idiopathic Scoliosis ◽  
Invasive Surgery

The Learning Curve of Minimally Invasive Surgery in Adolescent Idiopathic Scoliosis

2017 ◽  
Vol 17 (10) ◽  
pp. S234
Author(s):  
Vishal Sarwahi ◽  
Stephen Wendolowski ◽  
Jesse M. Galina ◽  
Yungtai Lo ◽  
Terry D. Amaral
Keyword(s):  
Minimally Invasive Surgery ◽  
Adolescent Idiopathic Scoliosis ◽  
Minimally Invasive ◽  
Idiopathic Scoliosis ◽  
Learning Curve ◽  
Invasive Surgery

Minimally Invasive Surgery in Patients With Adolescent Idiopathic Scoliosis

2016 ◽  
Vol 29 (8) ◽  
pp. 331-340 ◽  
Author(s):  
Vishal Sarwahi ◽  
Jonathan J. Horn ◽  
Preethi M. Kulkarni ◽  
Adam L. Wollowick ◽  
Yungtai Lo ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Adolescent Idiopathic Scoliosis ◽  
Minimally Invasive ◽  
Idiopathic Scoliosis ◽  
Invasive Surgery

scholarly journals A minimally invasive pericoccygeal approach to resection of a large presacral schwannoma: case report

2015 ◽  
Vol 23 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Osa Emohare ◽  
Molly Stapleton ◽  
Alejandro Mendez
Keyword(s):  
Minimally Invasive Surgery ◽  
Case Report ◽  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Posterior Approach ◽  
Laparoscopic Resection ◽  
Morbidly Obese ◽  
Significant Morbidity ◽  
Sacral Resection

Resection of large presacral schwannomas can present a challenge. The posterior approach is commonly associated with coccygeal disarticulation, partial sacral resection, and muscular disarticulation, which can all result in significant morbidity. Minimally invasive surgery may obviate some of the morbidity traditionally associated with this approach. The authors present the case of a morbidly obese 49-year-old man with an enlarging presacral schwannoma. The patient refused laparoscopic resection because of the morbidity he had experienced with a previous laparoscopic surgery. The tumor was resected using a minimally invasive paracoccygeal approach, which affords improved access with minimal morbidity.

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