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The Future of Minimally Invasive Spinal Surgery.
Jacob L Goldberg1, Ibrahim Hussain1, Fabian Sommer1
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 challenges. Technological advancements and a structured framework are key to advancing safe and effective MISS techniques for improved patient outcomes.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Surgical Technology
Background:
- Minimally invasive spinal surgery (MISS) is gaining prominence due to technological advancements.
- Widespread adoption of MISS is hindered by limited training, perceived difficulty, and high costs.
Purpose of the Study:
- To highlight key factors for safe and effective MISS adoption.
- To discuss the role of emerging technologies in advancing MISS.
Main Methods:
- Review of current trends and challenges in MISS.
- Introduction of the "6 T's" framework for MISS implementation.
- Analysis of technological advancements impacting MISS.
Main Results:
- The "6 T's" framework provides critical considerations for MISS.
- Endoscopy, robotics, and AR/VR are enhancing MISS safety and efficacy.
- Technological progress is accelerating the evolution of MISS.
Conclusions:
- Addressing barriers to adoption is crucial for MISS expansion.
- Continuous technological innovation is vital for the future of MISS.
- The integration of advanced technologies promises safer, less invasive spinal procedures.

