The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws
Minimization of the surgical approaches to spinal extradural metastases resection and stabilization was advocated by the 2012 Oncological Guidelines for Spinal Metastases Management. Minimally invasive approaches to spine oncology surgery (MISS) are continually advancing. This paper will describe th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/2/536 |
| _version_ | 1797440688927801344 |
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| author | Mai Shiber Gil Kimchi Nachshon Knoller Ran Harel |
| author_facet | Mai Shiber Gil Kimchi Nachshon Knoller Ran Harel |
| author_sort | Mai Shiber |
| collection | DOAJ |
| description | Minimization of the surgical approaches to spinal extradural metastases resection and stabilization was advocated by the 2012 Oncological Guidelines for Spinal Metastases Management. Minimally invasive approaches to spine oncology surgery (MISS) are continually advancing. This paper will describe the evolution of minimally invasive surgical techniques for the resection of metastatic spinal lesions and stabilization in a single institute. A retrospective analysis of patients who underwent minimally invasive extradural spinal metastases resection during the years 2013–2019 by a single surgeon was performed. Medical records, imaging studies, operative reports, rates of screw misplacement, operative time and estimated blood loss were reviewed. Detailed description of the surgical technique is provided. Of 138 patients operated for extradural spinal tumors during the study years, 19 patients were treated in a minimally invasive approach and met the inclusion criteria for this study. The mortality rate was significantly improved over the years with accordance of improve selection criteria to better prognosis patients. The surgical technique has evolved over the study years from fluoroscopy to intraoperative 3D imaging and navigation guidance and from k-wire screw insertion technique to one-step screws. Minimally invasive spinal tumor surgery is an evolving technique. The adoption of assistive devices such as intraoperative 3D imaging and one-step screw insertion systems was safe and efficient. Oncologic patients may particularly benefit from the minimization of surgical decompression and fusion in light of the frailty of this population and the mitigated postoperative outcomes associated with MIS oncological procedures. |
| first_indexed | 2024-03-09T12:11:56Z |
| format | Article |
| id | doaj.art-96b973600a864a1982d246212489087b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T12:11:56Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-96b973600a864a1982d246212489087b2023-11-30T22:51:18ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112253610.3390/jcm12020536The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step ScrewsMai Shiber0Gil Kimchi1Nachshon Knoller2Ran Harel3Department of Neurological Surgery, Sheba Medical Center, Ramat Gan 52621, IsraelDepartment of Neurological Surgery, Sheba Medical Center, Ramat Gan 52621, IsraelDepartment of Neurological Surgery, Sheba Medical Center, Ramat Gan 52621, IsraelDepartment of Neurological Surgery, Sheba Medical Center, Ramat Gan 52621, IsraelMinimization of the surgical approaches to spinal extradural metastases resection and stabilization was advocated by the 2012 Oncological Guidelines for Spinal Metastases Management. Minimally invasive approaches to spine oncology surgery (MISS) are continually advancing. This paper will describe the evolution of minimally invasive surgical techniques for the resection of metastatic spinal lesions and stabilization in a single institute. A retrospective analysis of patients who underwent minimally invasive extradural spinal metastases resection during the years 2013–2019 by a single surgeon was performed. Medical records, imaging studies, operative reports, rates of screw misplacement, operative time and estimated blood loss were reviewed. Detailed description of the surgical technique is provided. Of 138 patients operated for extradural spinal tumors during the study years, 19 patients were treated in a minimally invasive approach and met the inclusion criteria for this study. The mortality rate was significantly improved over the years with accordance of improve selection criteria to better prognosis patients. The surgical technique has evolved over the study years from fluoroscopy to intraoperative 3D imaging and navigation guidance and from k-wire screw insertion technique to one-step screws. Minimally invasive spinal tumor surgery is an evolving technique. The adoption of assistive devices such as intraoperative 3D imaging and one-step screw insertion systems was safe and efficient. Oncologic patients may particularly benefit from the minimization of surgical decompression and fusion in light of the frailty of this population and the mitigated postoperative outcomes associated with MIS oncological procedures.https://www.mdpi.com/2077-0383/12/2/536spine tumorsminimally invasive surgerynavigation guidanceone-step screwsrunning headthe evolution of minimally invasive spine tumor resection |
| spellingShingle | Mai Shiber Gil Kimchi Nachshon Knoller Ran Harel The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws Journal of Clinical Medicine spine tumors minimally invasive surgery navigation guidance one-step screws running head the evolution of minimally invasive spine tumor resection |
| title | The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws |
| title_full | The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws |
| title_fullStr | The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws |
| title_full_unstemmed | The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws |
| title_short | The Evolution of Minimally Invasive Spine Tumor Resection and Stabilization: From K-Wires to Navigated One-Step Screws |
| title_sort | evolution of minimally invasive spine tumor resection and stabilization from k wires to navigated one step screws |
| topic | spine tumors minimally invasive surgery navigation guidance one-step screws running head the evolution of minimally invasive spine tumor resection |
| url | https://www.mdpi.com/2077-0383/12/2/536 |
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