![]() Most cases of SFS are successful and do not involve serious complications. Serious complications are more likely to occur in people who develop scoliosis at a young age or as a complication of other diseases. damage to the cardiovascular or pulmonary systems.increased curvature of the spine over time. ![]() They do this because such cases can be disabling, causing problems such as: Nevertheless, doctors typically recommend surgery for the most severe cases of scoliosis. Similarly, a 2015 review found no recent studies comparing spinal fusion to other interventions for scoliosis. ![]() A short recovery period and expedited wound healing allow the radiation oncologists to start radiation without delay.There is little scientific evidence to determine whether a person should elect to have SFS.Ī 2018 study of lumbar spine fusion found no recent evidence either supporting or disputing the benefits of SFS for scoliosis or other medical conditions. Various minimally invasive techniques such as mini open decompression, corpectomy and percutaneous fixation allow spine surgeons to remove the tumor with small incisions and effectively separate the tumor from nerves and spinal cord. Even in patients with extensive metastatic disease, surgeons can safely separate the tumor from critical neural tissues to allow radiation oncologists to deliver high dose focused radiation to control tumor growth. MIS procedure allow aggressive removal of tumor. Advance of surgical technique and radiosurgery has provided cancer patients a new treatment option. Patients with metastatic tumors to spine were relegated to palliative radiotherapy in the past. With the advance of chemotherapy or target therapy, the cancer patients are enjoying longer survival while more patients are diagnosed with spinal metastases. Spinal metastases account for the majority of spinal tumors. The procedure is in general performed in an outpatient setting. Surgeons are able to preserve posterior tension band to prevent post-laminectomy flat back syndrome. A bilateral decompression can be performed via a unilateral tubular retractor technique through a small incision. Surgical treatment is to remove the posterior bony structure and thickened ligament to widen the spinal canal (laminectomy) or nerve root tunnel (foraminotomy).Ĭompared to traditional open surgery that stripping the paraspinal muscles and weakened the posterior tension band to reach the spine. They are not able to stay upright ambulating tend to lean on a shopping cart or require multiple breaks sitting or bending down to be able to ambulate for a longer distance. Patients with spinal stenosis usually present with so called “neurogenic claudication”. Spinal stenosis is abnormal narrowing of the vertebral column due to disc degeneration, thickened ligament, or synovial cyst that results in pressure on spinal cord or nerve roots. Indications of minimally invasive spine surgery include: Spine surgery is recommended when a period of nonsurgical treatment such as medications, physical therapy, or epidural steroid injections cannot provide adequate relief of neck or back painful symptoms. Several laboratory, imaging and biomechanical studies have shown that MIS approaches reduce paraspinal muscle atrophy and allow greater preservation of normal spinal motion. Reducing tissue injuries can result in decreased blood loss, reduced postoperative pain, shortened hospital stay and expedited recovery. Using MIS techniques, surgeons are able to avoid a long incision and extensive muscle dissection. Modern minimally invasive surgery (MIS) techniques allow spine surgeons to achieve the same goals of open surgery while minimize the collateral damage associated with the open approaches. ![]()
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