Articles

The Current State of Minimally Invasive Spine Surgery

The last decade has seen an evolution of minimally invasive spine surgery with new technological developments. Minimally invasive spine surgery is thought to decrease postoperative pain and allow quicker recovery by limiting soft-tissue retraction and dissection. Advances in microscopy, tissue retractors, and specialized instruments have enabled surgeons to perform procedures through small incisions. As with the open approach, the goals of the minimally invasive approach are to adequately decompress the involved neural elements, stabilize the motion segment, and/or realign the spinal column according to the needs of the individual patient. This article is an overview of the current state of minimally invasive spine surgery and a discussion of the key biologic concepts of posterior lumbar decompression as well as posterior and lateral fusion techniques.

Long-term Outcomes of Lumbar Fusion Among Workers’ Compensation Subjects: A Historical Cohort Study

Lumbar arthrodesis (fusion) is a surgical procedure per­formed to unite spinal vertebrae to eliminate mobility. There have been few published studies evaluating lumbar fusion outcomes in US workers’ compensation subjects.1, 41–4 In these studies, reoperation rates are the only outcome that has been consistently reported (about 22%). Surgical com­plications of 12% were reported in only one study at 3 months after surgery.1 Permanent or temporary disability results 2 years after fusion are variable among the studies, 18% to 68%.1, 2, 4 Similarly, return to work status (RTW) also varied from 41% to 78%.2,

The Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders: Executive Summary

In 2000, The Task Force on Neck Pain and Its Associated Disorders was established. In 2002, the Task Force was given official status by the Steering Committee of the Bone and Joint Decade, an initiative of the United Nations and the World Health Organization.

Posterior Short-Segment Fixation and Fusion in Unstable Hangman's Fractures

Thirty-five patients with unstable Hangman's fracture were treated using C2-3 posterior short segment fixation and fusion. The patients were followed for an average of 44 months. Fusion was achieved in all cases. C2-3 posterior short segment fixation and fusion is an effective method for the management of unstable Hangman's fracture.