Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Nov 13, 2025

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
08:13

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

Published on: October 17, 2025

93

The minimally invasive interbody selection algorithm for spinal deformity.

Praveen V Mummaneni1, Ibrahim Hussain2, Christopher I Shaffrey3

  • 11Department of Neurological Surgery, University of California, San Francisco, California.

Journal of Neurosurgery. Spine
|March 12, 2021
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Post-Operative Coronal Malalignment is Associated with Delayed Deterioration Following Minimally Invasive Surgery for Adult Spinal Deformity.

Spine·2026
Same author

Determinants of cost-effectiveness in minimally invasive surgery for adult spinal deformity correction.

Journal of neurosurgery. Spine·2026
Same author

Impact of lateral plate and screw fixation on long-term radiographic subsidence in lateral lumbar interbody fusion.

Journal of neurosurgery. Spine·2026
Same author

Does Velocity of Return-to-Work Differ Between Circumferential Minimally-Invasive and Open Surgery to Treat Adult Spinal Deformity?

Spine·2025
Same author

Durability in symptomatic and radiographic outcomes after standalone anterolateral minimally invasive surgery for adult spinal deformity.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia·2025
Same author

The impact of lower thoracic versus upper lumbar upper instrumented vertebra in minimally invasive correction of adult spinal deformity.

Journal of neurosurgery. Spine·2025
Same journal

Multilevel stand-alone lateral lumbar interbody fusion: radiographic and clinical outcomes.

Journal of neurosurgery. Spine·2026
Same journal

Is cervicothoracic ossification of the posterior longitudinal ligament a distinct clinicoradiological variant? A critical analysis of neurological recovery predictors.

Journal of neurosurgery. Spine·2026
Same journal

Does preoperative depression predict return to sport and exercise after degenerative spine surgery?

Journal of neurosurgery. Spine·2026
Same journal

Photodynamic diagnosis using 5-aminolevulinic acid in surgery for spinal cord astrocytic tumors: a propensity score-matched comparison with brain tumors.

Journal of neurosurgery. Spine·2026
Same journal

Editorial. Rethinking spinal cord gliomas: beyond the intracranial paradigm.

Journal of neurosurgery. Spine·2026
Same journal

Oncological and neurological outcomes after parent rootlet resection in functionally critical spinal schwannomas: a retrospective multicenter comparative study.

Journal of neurosurgery. Spine·2026
See all related articles
This summary is machine-generated.

Minimally invasive surgery (MIS) for spinal deformity now has a decision-making framework. The minimally invasive interbody selection algorithm (MIISA) guides surgeons on choosing approaches like ALIF, ACR, LLIF, and TLIF for better outcomes.

Area of Science:

  • Spine surgery
  • Orthopedic surgery
  • Minimally invasive spinal techniques

Background:

  • Minimally invasive surgery (MIS) is crucial for spinal deformity correction, decompression, and arthrodesis.
  • Current selection criteria for specific interbody approaches in MIS for spinal deformity are lacking.
  • A structured decision-making framework is needed for rational surgical planning.

Purpose of the Study:

  • To develop and validate the minimally invasive interbody selection algorithm (MIISA) for MIS spinal deformity surgery.
  • To provide a rational framework for selecting among anterior lumbar interbody fusion (ALIF), anterior column release (ACR), lateral lumbar interbody fusion (LLIF), and transforaminal lumbar interbody fusion (TLIF).

Main Methods:

  • Retrospective analysis of circumferential MIS (cMIS) for adult spinal deformity (ASD) over 5 years.
Keywords:
MIISAadult spinal deformityalgorithminterbodyminimally invasivespine surgery

More Related Videos

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.6K
Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion
04:42

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

Published on: June 16, 2023

751

Related Experiment Videos

Last Updated: Nov 13, 2025

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
08:13

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

Published on: October 17, 2025

93
Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.6K
Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion
04:42

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

Published on: June 16, 2023

751
  • Surgeon preferences and segmental lordosis outcomes were evaluated at each lumbar level.
  • A Delphi session with minimally invasive deformity surgeons informed algorithm creation.
  • Comparison of preoperative and 2-year postoperative radiographic and clinical outcomes.

    • Main Results:

    • The MIISA was developed with substantial agreement among 11 surgeons performing 100 cMISs.
    • Surgeons preferred LLIF for L1-4, with ACR used for greater lordosis needs.
    • At L4-5, preferences were LLIF, TLIF, and ALIF; at L5-S1, ALIF and TLIF were preferred.
    • ALIF and ACR demonstrated significant lordosis restoration, while LLIF alone did not.

    Conclusions:

    • The MIISA offers consistent guidance for MIS spinal deformity surgery.
    • The algorithm prioritizes lateral approaches for upper lumbar levels and reserves ACR for significant lordosis correction.
    • Specific interbody choices at L4-5 and L5-S1 depend on desired lordosis restoration.