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Minimally Invasive Surgery in Adult Spinal Deformity and the Future.
Shashank V Gandhi1, S Harrison Farber2, Juan P Giraldo2
1Texas Back Institute, Plano, TX, USA.
Global Spine Journal
|July 9, 2025
Summary
Minimally invasive spine surgery (MIS) offers significant advantages over traditional open surgery for adult spinal deformity (ASD). MIS techniques are increasingly effective for complex ASD cases, improving patient quality of life.
Area of Science:
- Orthopedics
- Neurosurgery
- Spine Surgery
Background:
- Adult spinal deformity (ASD) correction improves health-related quality of life (HRQOL).
- Traditional open surgery has been the standard for ASD treatment.
- Advancements in MIS enable less invasive correction of spinal malalignment and decompression.
Purpose of the Study:
- Evaluate various minimally invasive surgery (MIS) techniques for ASD.
- Compare MIS to traditional open surgery in ASD treatment.
- Identify future directions for MIS in spine deformity correction.
Main Methods:
- Conducted a narrative review of existing literature.
- Analyzed MIS and open surgical techniques for ASD.
Main Results:
- MIS techniques demonstrate significant advantages in treating ASD compared to open surgery.
- MIS has evolved from simple degenerative cases to complex ASD.
- There is a clear trend towards mainstream adoption of MIS for ASD.
Conclusions:
- MIS is increasingly effective for complex adult spinal deformity.
- The adoption of MIS in spine surgery is growing.
- Future innovations in MIS promise improved outcomes for ASD patients.

