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Lumbar Spinal Fixation Removal by a Minimal Invasive Microscope-Assisted Technique. Case Report with Technical
Giovanni Grasso1, Saverio Paolini1, Marcello Sallì2
1Neurosurgical Unit, Department of Biomedicine, Neurosciences and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.
Neurology India
|October 28, 2020
Summary
Minimally invasive spine surgery (MISS) fixation removal can now be done with a novel microscope-assisted technique. This approach offers a less painful and more effective alternative to traditional open surgery for patients.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
Background:
- Minimally invasive spine surgery (MISS) is increasingly popular, offering benefits like faster recovery.
- However, removal of spinal fixation after MISS often requires extensive open surgery, causing significant pain.
Observation:
- A novel microscope-assisted technique for minimally invasive lumbar spinal fixation removal was developed.
- This technique was successfully used in a patient with persistent back pain after prior MISS L4-S1 posterior dynamic fixation.
Findings:
- The procedure involved reopening previous small incisions and dissecting screws and rods under microscopic vision.
- The patient was discharged on postoperative day 1 and reported progressive symptom improvement.
- A satisfactory cosmetic outcome was achieved.
Implications:
- This minimally invasive microscope-assisted technique provides a simple, effective alternative to open surgery for spinal fixation removal.
- It may reduce patient pain and discomfort associated with hardware removal after MISS.
- Further studies could explore wider application and long-term outcomes.
