Minimally Invasive Spinal Treatment (MIST)-A New Concept in the Treatment of Spinal Diseases: A Narrative Review.

Abstract

In the past two decades, minimally invasive spine surgery (MISS) techniques have been developed for spinal surgery. Historically, minimizing invasiveness in decompression surgery was initially reported as a MISS technique. In recent years, MISS techniques have also been applied for spinal stabilization techniques, which were defined as minimally invasive spine stabilization (MISt), including percutaneous pedicle screws (PPS) fixation, lateral lumbar interbody fusion, balloon kyphoplasty, percutaneous vertebroplasty, cortical bone trajectory, and cervical total disc replacement. These MISS techniques typically provide many advantages such as preservation of paraspinal musculature, less blood loss, a shorter operative time, less postoperative pain, and a lower infection rate as well as being more cost-effective compared to traditional open techniques. However, even MISS techniques are associated with several limitations including technical difficulty, training opportunities, surgical cost, equipment cost, and radiation exposure. These downsides of surgical treatments make conservative treatments more feasible option. In the future, medicine must become "minimally invasive" in the broadest sense-for all patients, conventional surgeries, medical personnel, hospital management, nursing care, and the medical economy. As a new framework for the treatment of spinal diseases, the concept of minimally invasive spinal treatment (MIST) has been proposed.

• Authors: Ken Ishii, Goichi Watanabe, Takashi Tomita, Takuya Nikaido, Tomohiro Hikata, Akira Shinohara, Masato Nakano, Takanori Saito, Kazuo Nakanishi, Tadatsugu Morimoto, Norihiro Isogai, Haruki Funao, Masato Tanaka, Yoshihisa Kotani, Takeshi Arizono, Masahiro Hoshino, Koji Sato
• Journal: Medicina (Kaunas, Lithuania) (Medicina (Kaunas)) Vol. 58 Issue 8 (Aug 18 2022) ISSN: 1648-9144 [Electronic] Switzerland
• PMID: 36013590 (Publication Type: Journal Article, Review)

Topics

• Humans
• Lumbar Vertebrae (surgery)
• Minimally Invasive Surgical Procedures (methods)
• Neurosurgical Procedures (methods)
• Spinal Diseases
• Spinal Fusion (methods)
• Treatment Outcome