4.5 Article

Single-position Minimally Invasive Surgery for Correction of Adult Spinal Deformity

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.5435/JAAOS-D-22-01037

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Minimally invasive adult spinal deformity (MIS ASD) surgery can be advantageous in certain circumstances compared to conventional techniques. The success of the procedure depends on proper patient selection, restoring adequate alignment, and optimizing fusion. In the past, the limited availability of MIS techniques was due to the need for patient repositioning, resulting in increased surgical time and potential risks. Recent developments allow for single-position, MIS correction of adult deformities, but further research is required to determine the ideal patient and the best outcomes between prone and lateral single-position approaches.
Minimally invasive adult spinal deformity (MIS ASD) surgery may offer benefits over conventional techniques in select circumstances. The success of the procedure is based on proper patient selection, restoring adequate alignment, and optimizing fusion. In the past, MIS techniques were limited because of the need to reposition the patient-a source of increased surgical time and potentially patient risk. New developments now allow for single-position, MIS correction of adult deformity. Additional research will be needed to determine the ideal patient for minimally invasive adult spinal deformity surgery and whether prone or lateral single-position confers the best outcomes.

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