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Minimally invasive deformity correction: surgical technique.
Kevin S Chen1, Khoi D Than, Frank LaMarca
1Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan 48109-5338, USA.
Neurosurgical Focus
|July 9, 2013
Summary
This video demonstrates a minimally invasive surgical technique for symptomatic adult kyphoscoliosis, achieving spinal balance and improved lordosis using anterior and posterior approaches.
Area of Science:
- Spine Surgery
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Adult kyphoscoliosis can lead to significant pain and deformity.
- Restoring spinal balance and sagittal alignment is crucial for patient outcomes.
Purpose of the Study:
- To detail a minimally invasive surgical technique for symptomatic adult kyphoscoliosis.
- To demonstrate achieving sagittal and coronal balance and improving lumbar lordosis.
Main Methods:
- The video details both anterior (lateral transpsoas) and posterior approaches.
- Key steps include patient positioning, fluoroscopic guidance, and minimally invasive exposure.
- Techniques cover interbody grafting and percutaneous pedicle screw fixation.
Main Results:
- The described technique allows for correction of kyphoscoliosis.
- Sagittal and coronal spinal balance is achieved.
- Lumbar lordosis is restored to match pelvic incidence.
Conclusions:
- Minimally invasive surgery can effectively treat symptomatic adult kyphoscoliosis.
- Combined anterior and posterior approaches facilitate comprehensive spinal correction.
- Restoration of spinal alignment improves patient outcomes.
