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Equipoise for Lateral Access Surgery
Hao Wu1, Prudence Wing Hang Cheung1, Reuben Chee Cheong Soh2
1Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.
World Neurosurgery
|July 25, 2022
Summary
Lateral access surgery is increasingly used in the Asia-Pacific region. However, training and resources are needed to improve its adoption in lower-income countries, with no consensus on deformity correction sequencing.
Area of Science:
- Spine surgery
- Minimally invasive spine surgery
- Orthopedic surgery
Background:
- Lateral access surgery (LAS) is a minimally invasive technique gaining traction globally.
- Understanding its adoption and challenges in the Asia-Pacific region is crucial for future development.
Purpose of the Study:
- To investigate the current use and perceptions of lateral access surgery among spine surgeons in the Asia-Pacific region.
- To identify areas of consensus and contention regarding its application and techniques.
Main Methods:
- A questionnaire was distributed to members of the Asia Pacific Spine Society.
- Surgeons reported on their experience, preferred techniques, implant choices, and complication rates with LAS.
Main Results:
- 67.6% of surgeons had prior experience with LAS.
- 54.9% considered LAS superior to other techniques for anterior column reconstruction.
- Surgeons favored laminectomy over indirect decompression for severe spinal stenosis and lacked consensus on multilevel reconstruction sequencing.
Conclusions:
- LAS adoption varies across the Asia-Pacific region, with higher use in wealthier nations.
- Enhanced training, resources, and cost-effectiveness are needed to increase LAS use in lower-income countries.
- Significant divergence exists in surgical decision-making for spinal stenosis treatment and deformity correction sequencing.
