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[Basics and Surgical Techniques for Adult Spinal Deformity]
1Department of Neurosurgery, Ayabe Renaiss Hospital.
No Shinkei Geka. Neurological Surgery
|January 30, 2025
Summary
Adult spinal deformity (ASD) involves age-related changes affecting spinal alignment. Circumferential minimally invasive surgery offers a solution to correct spinal alignment and improve patient positioning.
Area of Science:
- Orthopedics
- Neurosurgery
- Spine Surgery
Background:
- Adult spinal deformity (ASD) is characterized by altered spinopelvic alignment due to degenerative changes.
- This condition impedes the ability to maintain an upright posture.
Purpose of the Study:
- To review the pathophysiology of ASD.
- To discuss spinopelvic alignment, surgical techniques, and potential complications.
- To highlight the role of computer-assisted devices in mitigating risks.
Main Methods:
- Circumferential minimally invasive surgery (CMIS) for ASD.
- CMIS involves an anterior approach (lateral lumbar interbody fusion) and a posterior approach (percutaneous pedicle screws).
Main Results:
- Complications associated with CMIS can be perioperative or implant-related and may be severe.
- Computer-assisted technologies can aid in preventing these complications.
Conclusions:
- CMIS for ASD integrates multiple spine surgery techniques.
- Successful CMIS relies on a strong theoretical foundation and refined procedural accuracy.
