[Minimal invasive surgery: historical review, current status and perspective]

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Spinal Surgery

Context:

• Traditional dorsal open approach for lumbar spine surgery is well-established but causes significant collateral damage.
• Minimal-invasive spine surgery (MISS) techniques have emerged as a less destructive alternative over the past decade.
• MISS offers benefits such as smaller incisions, reduced tissue trauma, and quicker patient recovery.

Purpose:

• To provide an overview of the evolution of minimal-invasive spine surgery (MISS) in the lumbar region.
• To discuss the current role and comparative advantages of MISS against the traditional dorsal open approach.
• To highlight the benefits and potential drawbacks of MISS techniques.

Summary:

• Minimal-invasive spine surgery (MISS) techniques are increasingly utilized for lumbar spine procedures, offering significant advantages over the traditional dorsal open approach.
• Key benefits of MISS include reduced soft tissue damage, decreased blood loss, lower infection rates, and faster return to function.
• Potential disadvantages of MISS, such as a steeper learning curve and increased radiation exposure, require careful management.

Impact:

• MISS represents a significant advancement in lumbar spine surgery, improving patient outcomes and reducing healthcare burdens.
• The adoption of MISS is transforming surgical practices, emphasizing less invasive and more patient-centric approaches.
• Further research and training are crucial to optimize MISS techniques and mitigate associated risks.