Novel Surgical Technique for Adolescent Idiopathic Scoliosis: Minimally Invasive Scoliosis Surgery

Despite advancements in instruments and surgical techniques for adolescent idiopathic scoliosis (AIS) surgery, conventional open scoliosis surgery (COSS) is usually required to achieve satisfactory deformity correction using various distinct surgical techniques, such as rod derotation, direct vertebral rotation, facetectomies, osteotomies, and decortication of the laminae. However, COSS is accompanied by significant blood loss and requires a large midline skin incision. Minimally invasive surgery (MIS) has evolved enormously in various fields of spinal surgery, including degenerative spinal diseases. MIS of the spine has some advantages over conventional surgery, such as a smaller incision, less blood loss and postoperative pain, and lower infection rates. Since the introduction of MIS for AIS in 2011, MIS has been reported to have comparable outcomes, including correction rate with some usual advantages of MIS. However, several complications, such as dislodgement of rods, wound infection, and hypertrophic scar formation, have also been reported in the initial stages of MIS for AIS. We devised a novel approach, called the coin-hole technique or minimally invasive scoliosis surgery (MISS), to minimize these complications. This article aimed to introduce a novel surgical technique for AIS and provide a preliminary analysis and up-to-date information regarding MISS.

[1]  Hong-Jin Kim,et al.  Minimally invasive scoliosis surgery for adolescent idiopathic scoliosis using posterior mini-open technique , 2021, Journal of Clinical Neuroscience.

[2]  W. Skalli,et al.  Minimally Invasive Surgery for Neuromuscular Scoliosis: Results and Complications at a Minimal Follow-up of 5 Years , 2021, Spine.

[3]  Hong-Jin Kim,et al.  Comparative Analysis of Radiological and Clinical Outcomes between Conventional Open and Minimally Invasive Scoliosis Surgery for Adolescent Idiopathic Scoliosis. , 2021, World neurosurgery.

[4]  S. Choi,et al.  Efficacy and Safety of Escherichia coli-derived recombinant human bone morphogenetic protein-2 in additional lumbar posterolateral fusion: minimum 1 year follow-up. , 2021, The spine journal : official journal of the North American Spine Society.

[5]  D. Ham,et al.  Minimally Invasive Spine Surgery: Techniques, Technologies, and Indications , 2020, Asian spine journal.

[6]  A. Vaccaro,et al.  Overview of Minimally Invasive Spine Surgery. , 2020, World neurosurgery.

[7]  S. Matsuda,et al.  Repair of Iliac Crest Defects with a Hydroxyapatite/Collagen Composite , 2020, Asian spine journal.

[8]  Zeyan Liang,et al.  Comparative Clinical Effectiveness and Safety of Bone Morphogenetic Protein Versus Autologous Iliac Crest Bone Graft in Lumbar Fusion , 2020, Spine.

[9]  Tarek Elfiky,et al.  Endplate Changes with Polyetheretherketone Cages in Posterior Lumbar Interbody Fusion , 2019, Asian spine journal.

[10]  J. Yang,et al.  Safety and effectiveness of minimally invasive scoliosis surgery for adolescent idiopathic scoliosis: a retrospective case series of 84 patients , 2019, European Spine Journal.

[11]  C. Barrios,et al.  A meta-analysis of bone morphogenetic protein-2 versus iliac crest bone graft for the posterolateral fusion of the lumbar spine , 2019, Journal of Bone and Mineral Metabolism.

[12]  H. Labelle,et al.  Revisiting the psychometric properties of the Scoliosis Research Society-22 (SRS-22) French version , 2017, Scoliosis and Spinal Disorders.

[13]  J. Rueger,et al.  Evaluation of complications associated with off-label use of recombinant human bone morphogenetic protein-2 (rhBMP-2) in pediatric orthopaedics , 2016, Journal of Materials Science: Materials in Medicine.

[14]  E. Amankwah,et al.  Allograft versus autograft for pediatric posterior cervical and occipito-cervical fusion: a systematic review of factors affecting fusion rates. , 2016, Journal of neurosurgery. Pediatrics.

[15]  V. Sarwahi,et al.  Minimally Invasive Surgery in Patients With Adolescent Idiopathic Scoliosis: Is it Better than the Standard Approach? A 2-Year Follow-up Study , 2014, Clinical spine surgery.

[16]  Kim Soo-hyun,et al.  Minimally Invasive Surgery for Correcting Adolescent Idiopathic Scoliosis: A Novel Approach Called Coin Hole Technique , 2016 .

[17]  T. Luerssen,et al.  The efficacy of routine use of recombinant human bone morphogenetic protein-2 in occipitocervical and atlantoaxial fusions of the pediatric spine: a minimum of 12 months' follow-up with computed tomography. , 2015, Journal of neurosurgery. Pediatrics.

[18]  F. Miyanji,et al.  Minimally invasive surgical options for adolescent idiopathic scoliosis , 2015 .

[19]  S. Boriani,et al.  Less invasive surgery in idiopathic scoliosis: a case report. , 2014, European review for medical and pharmacological sciences.

[20]  P. Anderson,et al.  Bone morphogenetic protein-associated complications in pediatric spinal fusion in the early postoperative period: an analysis of 4658 patients and review of the literature. , 2014, Journal of neurosurgery. Pediatrics.

[21]  J. Bennett,et al.  Recombinant Human Bone Morphogenetic Protein-2 as an Adjunct for Spine Fusion in a Pediatric Population , 2012, Pediatric Neurosurgery.

[22]  Zi-qiang Chen,et al.  Using Precisely Controlled Bidirectional Orthopedic Forces to Assess Flexibility in Adolescent Idiopathic Scoliosis: Comparisons Between Push-Traction Film, Supine Side Bending, Suspension, and Fulcrum Bending Film , 2011, Spine.

[23]  Etan P. Sugarman,et al.  Minimally invasive scoliosis surgery: an innovative technique in patients with adolescent idiopathic scoliosis , 2011, Scoliosis.

[24]  D. Lim,et al.  Pedicle screw instrumentation in adolescent idiopathic scoliosis (AIS) , 2011, European Spine Journal.

[25]  D. Miglioretti,et al.  Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. , 2009, Archives of internal medicine.

[26]  Sang Min Lee,et al.  Direct Vertebral Rotation: A New Technique of Three-Dimensional Deformity Correction With Segmental Pedicle Screw Fixation in Adolescent Idiopathic Scoliosis , 2004, Spine.

[27]  L. Lenke,et al.  Prospective Comparison of Flexibility Radiographs in Adolescent Idiopathic Scoliosis , 2001, Spine.

[28]  D. Brenner,et al.  Estimated risks of radiation-induced fatal cancer from pediatric CT. , 2001, AJR. American journal of roentgenology.

[29]  R. Winter,et al.  Adolescent idiopathic scoliosis , 1991, The Lancet.

[30]  E. J. Riseborough,et al.  A genetic survey of idiopathic scoliosis in Boston, Massachusetts. , 1973, The Journal of bone and joint surgery. American volume.