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Updated: Sep 7, 2025

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Published on: June 16, 2023
Minimally Invasive Spine Surgery: An Overview.
Jacob L Goldberg1, Roger Härtl1, Eric Elowitz1
1Department of Neurological Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA.
Minimally invasive spinal surgery (MISS) is transforming spine care, driven by technology and patient needs. While not always possible, optimizing patient selection for MISS is key to improving outcomes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spine Surgery
Background:
- Spine surgery is shifting towards minimally invasive approaches.
- This transition is influenced by an aging population, patient preferences, and evolving reimbursement.
- Advancements in intraoperative imaging and navigation facilitate minimally invasive techniques.
Purpose of the Study:
- To highlight the transformation towards minimally invasive spinal surgery (MISS).
- To discuss factors driving the adoption of MISS.
- To address the challenges and ongoing efforts in optimizing patient selection for MISS.
Main Methods:
- Review of current trends and technological advancements in spinal surgery.
- Analysis of factors influencing the shift from open to minimally invasive techniques.
- Discussion of algorithms and strategies for patient selection in MISS.
Main Results:
- Minimally invasive surgical techniques are increasingly replacing traditional open approaches.
- Intraoperative imaging and navigation technologies are crucial for MISS.
- Patient selection remains a critical factor for successful MISS outcomes.
Conclusions:
- Minimally invasive spinal surgery represents a significant paradigm shift.
- Continued research is needed to refine patient selection and optimize MISS techniques.
- Investigating combinations of MISS approaches aims to enhance surgical workflow, safety, and efficiency.
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