Evolution of Complex Spine Surgery in Neurosurgery: From Big to Minimally Invasive Surgery for the Treatment of Spinal Deformity.

Mohamed Macki, Frank La Marca
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Abstract

Spinal instrumentation for adult spinal deformity dates back to the surgical correction of secondary complications from infectious processes, such as Pott's disease and poliomyelitis [1]. With the population aging at a longer life expectancy today, advanced degenerative spinal diseases and idiopathic scoliosis supersede as the most common causes of adult spinal deformity. Correction of the thoracolumbar malignment, specifically, has rapidly evolved with the burgeoning success of spinal instrumentation. The objective of this chapter is to review the metamorphosis of operative principles for adult thoracolumbar deformity, from aggressive osteotomies in the posterior bony elements to minimally invasive surgery (MIS) at the intervertebral disc space.

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神经外科复杂脊柱手术的演变:从大手术到微创手术治疗脊柱畸形。
脊柱内固定治疗成人脊柱畸形的历史可以追溯到感染性过程继发性并发症的手术矫正,如波特病和脊髓灰质炎[1]。随着人口老龄化和预期寿命的延长,晚期退行性脊柱疾病和特发性脊柱侧凸取代了成人脊柱畸形的最常见原因。特别是胸腰椎恶性肿瘤的矫正,随着脊柱内固定术的迅速成功而迅速发展。本章的目的是回顾成人胸腰椎畸形的手术原则的转变,从后路骨部分的积极截骨到椎间盘间隙的微创手术(MIS)。
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