Adult spinal deformity treated with minimally invasive surgery. Description of surgical technique, radiological results and literature review

Abstract

The prevalence of adult spinal deformity has been increasing exponentially over time. Surgery has been credited with good radiological and clinical results. The incidence of complications is high. MIS techniques provide good results with fewer complications. This is a retrospective study of 25 patients with an adult spinal deformity treated by MIS surgery, with a minimum follow-up of 6 months. Radiological improvement was SVA from 5 to 2cm, coronal Cobb angle from 31° to 6°, and lumbar lordosis from 18° to 38°. All of these parameters remained stable over time. We also present the complications that appeared in 4 patients (16%). Only one patient needed reoperation. We describe the technique used and review the references on the subject. We conclude that the MIS technique for treating adult spinal deformity has comparable results to those of the conventional techniques but with fewer complications.

Keywords: Adult spinal deformity; Artrodesis lumbar intersomática extralateral; Cirugía mínimamente invasiva; Complicaciones; Complications; Deformidad del adulto; Extremelateral interbody fusion; Minimally invasive techniques.