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Minimally invasive cervical spine surgery.

Branko Skovrlj1, Sheeraz A Qureshi2

  • 1Department of Neurosurgery, North Jersey Spine Group, Wayne, NJ, USA.

Journal of Neurosurgical Sciences
|October 28, 2016
PubMed
Summary
This summary is machine-generated.

Minimally invasive spine surgery (MISS) techniques are increasingly used for degenerative cervical spine disease, offering reduced morbidity. This review examines four such techniques, finding evidence supporting their safety and effectiveness for specific conditions.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Degenerative cervical spine disorders requiring surgery are rising.
  • Traditional open surgery has limitations like morbidity and instability.
  • Minimally invasive techniques aim to reduce surgical complications.

Purpose of the Study:

  • To review four minimally invasive cervical techniques for degenerative spine disease.
  • To assess the current literature on their safety and effectiveness.
  • To identify areas for future development in minimally invasive spine surgery.

Main Methods:

  • Conducted PubMed-National Library of Medicine searches.
  • Included English-language articles and translations.
  • Assessed the level of evidence for selected studies.

Main Results:

  • Zero-profile anterior cervical cages are effective for single-level ACDF, reducing dysphagia.
  • Minimally invasive posterior cervical laminoforaminotomy is supported for single-level radiculopathy.
  • Percutaneous cervical lateral mass screw fixation and DTRAX® expandable cage show promise.

Conclusions:

  • Minimally invasive techniques are evolving for degenerative cervical spine disease.
  • Current evidence supports specific MIS approaches for ACDF and radiculopathy.
  • Further advancements are needed in posterior cervical MIS techniques.