Clinical Research in MIS Surgery: Current State and Future Challenges

Abstract

Spinal fusion is an accepted method of treatment for a wide variety of spinal pathologies requiring stabilization, including spinal deformity. Unfortunately, traditional open techniques are associated with extensive soft tissue dissection and retraction required to identify anatomic landmarks for appropriate placement of instrumentation and adequate preparation of the fusion bed. The morbidity associated with these open surgical exposures may include substantial blood loss [1], high complication rates [2], prolonged hospital stays [3], increased postoperative low back pain, and decreased trunk muscle strength [4].