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Challenges Hindering Widespread Adoption of Minimally Invasive Spinal Surgery.
Jacob L Goldberg1, Roger Härtl1, Eric Elowitz1
1Department of Neurological Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA.
World Neurosurgery
|June 22, 2022
Summary
Minimally invasive spinal surgery (MISS) offers benefits but faces adoption barriers like cost and training. Overcoming these challenges is key for safe and effective growth of these advanced spinal procedures.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Minimally Invasive Techniques
Background:
- Minimally invasive spinal surgery (MISS) presents numerous advantages and growing patient demand.
- Widespread adoption by spinal surgeons is hindered by controversy and various barriers.
Purpose of the Study:
- To review the barriers preventing wider adoption of MISS.
- To present a framework for promoting the safe and effective growth of MISS.
Main Methods:
- Review of existing literature on barriers to MISS adoption.
- Analysis of factors influencing surgeon training and technique development.
Main Results:
- Key barriers include high start-up costs, limited evidence, and inadequate surgeon training.
- Unfamiliar anatomy and the need to maintain open surgery skills pose additional challenges.
- MISS requires surgeons to master new skills while retaining proficiency in traditional open surgery.
Conclusions:
- Addressing barriers related to cost, evidence, and training is crucial for MISS advancement.
- A structured framework can facilitate the safe and effective expansion of MISS techniques.
- Continued development and support are necessary for the successful integration of MISS into spinal surgery practices.
