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TROPIC: Transfascial Oblique Posterior Interbody Correction: Technical Note.

Daniel J Burkett1, Simon G Ammanuel1, Christopher Baggott2

  • 1Department of Neurological Surgery, University of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA.

World Neurosurgery
|September 13, 2024
PubMed
Summary

Minimally invasive surgery for adult spinal deformity offers effective correction of spinal imbalances without damaging surrounding muscles. This approach preserves tissues, reducing risks associated with traditional open surgeries.

Keywords:
Lumbar spineMinimally invasiveSpinal deformityThoracic spine

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Area of Science:

  • Orthopedic Surgery
  • Spinal Deformity Correction
  • Minimally Invasive Spine Surgery

Background:

  • Adult spinal deformity is prevalent in aging populations, often causing significant pain and reduced quality of life.
  • Traditional open correction surgery carries high risks and complication rates.
  • A shift towards minimally invasive techniques aims to preserve spinal muscles and soft tissues.

Purpose of the Study:

  • To describe a minimally invasive surgical technique for adult spinal deformity.
  • To evaluate the efficacy of a transfascial Wiltse approach for lumbar interbody fusions and osteotomies.

Main Methods:

  • A Wiltse approach was utilized, avoiding paraspinal muscle invasion.
  • Lumbar interbody fusions and osteotomies were performed.
  • The technique was applied to three patients with severe spinal deformities.

Main Results:

  • Successful correction of severe coronal and rotational imbalances was achieved in all three patients.
  • The minimally invasive approach preserved spinal musculature and soft tissues.
  • Adequate spinal correction was obtained without compromising surrounding structures.

Conclusions:

  • This minimally invasive technique effectively corrects spinal rotational and coronal plane deformities.
  • The procedure restores lumbar lordosis.
  • It offers an alternative to open surgery, mitigating associated risks and complications.