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Updated: Jul 6, 2025

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion
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Minimally Invasive Posterior Cervical Fusion: A Handsome Option.

V Pinto1, L Pereira1, R Reinas1

  • 1Department of Neurosurgery, Hospital Center of Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

Acta Neurochirurgica. Supplement
|December 28, 2023
PubMed
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Minimally invasive posterior cervical fusion (PCF) offers a tissue-sparing surgical option for cervical myelopathy, demonstrating biomechanical stability and good clinical outcomes with fewer complications than traditional approaches.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Cervical spondylosis frequently leads to cervical myelopathy, necessitating surgical intervention.
  • Traditional surgical approaches include anterior cervical discectomy and fusion (ACDF) and laminectomy and fusion (LMF).
  • These methods carry risks like dysphagia, pain, infection, adjacent segment degeneration (ASD), and pseudoarthrosis.

Purpose of the Study:

  • To discuss the indications, advantages, and drawbacks of minimally invasive posterior cervical fusion (PCF).
  • To highlight PCF as a tissue-sparing alternative for cervical myelopathy treatment.
  • To present findings based on the authors' clinical experience.

Main Methods:

  • Review of clinical experience with minimally invasive posterior cervical fusion (PCF).
Keywords:
Anterior cervical discectomy and fusionCervical lordosisCervical spondylosisLateral mass screwsMinimally invasive spine surgeryPosterior cervical fusion

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  • Focus on a tissue-sparing surgical technique.
  • Evaluation of biomechanical stability, clinical outcomes, fusion rates, and complications.

    • Main Results:

    • Minimally invasive PCF demonstrates compelling evidence of biomechanical stability.
    • Good clinical outcomes and high fusion rates are associated with PCF.
    • PCF shows potential for fewer complications and better econometrics compared to traditional methods.

    Conclusions:

    • Minimally invasive PCF is a viable surgical option for cervical myelopathy.
    • PCF offers advantages in terms of stability, outcomes, and complication profile.
    • Further consideration of PCF is warranted for appropriate patient selection.