Clinical Advances in Minimally Invasive Spinal Treatment

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (29 February 2024) | Viewed by 3905

Special Issue Editors

Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Isehara 259-1143, Japan
Interests: minimally invasive spine treatment; intraoperative image guidance surgery system; single position spine surgery; navigation-assisted lateral lumbar interbody fusion; molecular biology of Intervertebral discs
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Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare (IUHW), Chiba 286-0124, Japan
Interests: minimally invasive spinal treatment (MIST); minimally invasive spine stabilization (MISt); spinal deformity; spinal infection; navigation-guided spine surgery; trans-sacral canal plasty (TSCP)
Special Issues, Collections and Topics in MDPI journals
Department of Orthopedic Surgery, Kansai Medical University Hospital, Osaka 573-1191, Japan
Interests: adult spinal deformity; minimally invasive surgical techniques; spinal deformities

Special Issue Information

Dear Colleagues,

This Special Issue, entitled "Clinical Advances in Minimally Invasive Spinal Treatment", aims to showcase the latest advancements and emerging trends in minimally invasive techniques for spinal disorders. With a focus on improving patient outcomes and reducing surgical invasiveness, this issue will explore innovative approaches, novel technologies, and evidence-based practices that have revolutionized the management of spinal conditions.

The Special Issue will feature various topics, including minimally invasive surgical procedures, image-guided interventions, non-surgical treatment modalities, and rehabilitation strategies. Contributions from leading experts and researchers in the field will provide valuable insights into the current state of the art and future directions of minimally invasive spinal treatment.

Key areas of interest for this Special Issue include but are not limited to:

  1. Minimally invasive spine surgery techniques including endoscopic discectomy, percutaneous fusion, and microendoscopic decompression.
  2. Navigation systems and robotic-assisted interventions for precise and targeted spinal procedures.
  3. Diagnostic imaging using artificial intelligence (AI).
  4. Biologics and regenerative therapies for enhancing tissue healing and promoting spinal fusion.
  5. Non-surgical interventions, including pain management techniques, physical therapy, and minimally invasive spinal injections.
  6. Outcome assessment, cost-effectiveness analysis, and patient satisfaction studies related to minimally invasive spinal treatment.

By bringing together cutting-edge research and clinical experiences, this Special Issue seeks to advance the minimally invasive spinal treatment field, foster interdisciplinary collaboration, and provide clinicians and researchers with valuable insights to optimize patient care and outcomes.

Dr. Akihiko Hiyama
Dr. Haruki Funao
Guest Editors

Dr. Masayuki Ishihara
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive spine treatment
  • percutaneous pedicle screw
  • robotic-guided spine surgery
  • intraoperative image guidance
  • lateral position surgery
  • full endoscopic spine surgery
  • augmented reality (AR)
  • virtual reality (VR)

Published Papers (4 papers)

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Research

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8 pages, 1921 KiB  
Article
Abdominal Arterial Translation in Lower Lumbar Spine Level Due to Positional Change: A Clinical Survey Using Intraoperative Computed Tomography
by Toru Asari, Kanichiro Wada, Eiji Sasaki, Gentaro Kumagai, Sunao Tanaka and Yasuyuki Ishibashi
J. Clin. Med. 2024, 13(7), 1897; https://doi.org/10.3390/jcm13071897 - 25 Mar 2024
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Abstract
Background: Abdominal vascular injury, a fatal complication of lumbar disc surgery, should concern spine surgeons. This study aimed to compare the position of the abdominal arteries in the supine and prone positions and the factors involved. Thirty patients who underwent lumbar surgery [...] Read more.
Background: Abdominal vascular injury, a fatal complication of lumbar disc surgery, should concern spine surgeons. This study aimed to compare the position of the abdominal arteries in the supine and prone positions and the factors involved. Thirty patients who underwent lumbar surgery by posterior approach were included. Methods: All patients underwent computed tomography (CT) preoperatively in the supine position and intraoperatively in the prone position. In the CT axial image, at the L4, L4/5 disc, L5, and L5/S1 disc level, we measured the shortest distance between the abdominal arteries and the vertebral body (SDA: shortest distance to the aorta), and the amount of abdominal arterial translation, defined as “SDA on intraoperative CT” minus “SDA on preoperative CT”. Additionally, the preoperative CT axial images were evaluated for the presence of aortic calcification. Results: No significant difference in SDA values based on patients’ positions was observed at each level. In males, the supine position brought the abdominal artery significantly closer to the spine at the left side of the L5/S level (p = 0.037), and, in cases of calcification of the abdominal artery, the abdominal artery was found to be closer to the spine at the left side of the L4/5 level (p = 0.026). Conclusions: It is important to confirm preoperative images correctly to prevent great vessel injuries in lumbar spine surgery using a posterior approach. Full article
(This article belongs to the Special Issue Clinical Advances in Minimally Invasive Spinal Treatment)
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14 pages, 9955 KiB  
Article
New Effective Intraoperative Techniques for the Prevention of Coronal Imbalance after Circumferential Minimally Invasive Correction Surgery for Adult Spinal Deformity
by Masayuki Ishihara, Shinichirou Taniguchi, Naoto Ono, Takashi Adachi, Yoichi Tani, Masaaki Paku, Koki Kawashima, Muneharu Ando and Takanori Saito
J. Clin. Med. 2023, 12(17), 5670; https://doi.org/10.3390/jcm12175670 - 31 Aug 2023
Viewed by 634
Abstract
This study aimed to devise measures and investigate their effect on coronal imbalance (CI) after circumferential minimally invasive correction surgery (CMIS) with lateral lumbar interbody fusion and percutaneous pedicle screw for adult spinal deformity (ASD). A total of 115 patients with ASD who [...] Read more.
This study aimed to devise measures and investigate their effect on coronal imbalance (CI) after circumferential minimally invasive correction surgery (CMIS) with lateral lumbar interbody fusion and percutaneous pedicle screw for adult spinal deformity (ASD). A total of 115 patients with ASD who underwent CMIS from the lower thoracic spine to the ilium were included. Patients were stratified based on the distance between the spinous process of the upper instrumented vertebra and central sacrum vertical line (UIV-CSVL) after the first intraoperative rod application into groups P (UIV-CSVL > 10 mm, n = 50) and G (UIV-CSVL < 10 mm, n = 65). Measures to correct postoperative CI introduced during surgery, preoperative and postoperative UIV-CSVL, and changes in UIV-CSVL after various measures (ΔUIV-CSVL) were investigated in group P. Rod rotation (RR), S2 alar-iliac screw distraction (SD), and kickstand-rod (KR) technique were performed in group P. Group P was further divided into group RR (n = 38), group SD (RR and SD) (n = 7), and group KR (RR and KR) (n = 5); the ΔUIV-CSVLs were 13.9 mm, 20.1 mm, and 24.4 mm in these three groups, respectively. Postoperative C7-CSVL < 10 mm was achieved in all three correction groups. In conclusion, our measures enabled sufficient correction of the UIV-CSVL and are useful for preventing CI after CMIS for ASD. Full article
(This article belongs to the Special Issue Clinical Advances in Minimally Invasive Spinal Treatment)
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17 pages, 12418 KiB  
Article
Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion (PETLIF): Current Techniques, Clinical Outcomes, and Narrative Review
by Koichiro Ono, Daisuke Fukuhara, Ken Nagahama, Yuichiro Abe, Kenji Takahashi and Tokifumi Majima
J. Clin. Med. 2023, 12(16), 5391; https://doi.org/10.3390/jcm12165391 - 19 Aug 2023
Viewed by 694
Abstract
Full endoscopic techniques are becoming more popular for degenerative lumbar pathologies. Percutaneous endoscopic lumbar interbody fusion (PETLIF) is a minimally invasive surgical technique for spondylolisthesis and lumbar spinal canal stenosis with instability. Nagahama first introduced PETLIF in 2019. This study investigated the clinical [...] Read more.
Full endoscopic techniques are becoming more popular for degenerative lumbar pathologies. Percutaneous endoscopic lumbar interbody fusion (PETLIF) is a minimally invasive surgical technique for spondylolisthesis and lumbar spinal canal stenosis with instability. Nagahama first introduced PETLIF in 2019. This study investigated the clinical outcomes and complications of 24 patients who underwent PETLIF in our facility and compared them with previous studies. Literature searches were conducted on PubMed and Web of Science. The PETLIF surgical technique involves three steps to acquire disc height under general anesthesia. The procedure includes bone harvesting, spondylolisthesis reduction, endoscopic foraminoplasty, disc height expansion using an oval dilator, and intervertebral disc curettage. A cage filled with autologous bone is inserted into the disc space and secured with posterior fixation. Patients underwent PETLIF with an average operation time of 130.8 min and a blood loss of 24.0 mL. Postoperative hospital stays were 9.5 days. Improvement in VAS, disc height, spinal canal area, and % slip was observed, while lumbar lordosis remained unchanged. Complications included end plate injury, subsidence, and exiting nerve root injury. The differences between PETLIF and the extracted literature were found in patients’ age, direct decompression, epidural or local anesthesia, approach, order of PPS, and cage insertion. In conclusion, PETLIF surgery is a practical, minimally invasive surgical technique for patients with lumbar degenerative diseases suffering from back and leg pain, demonstrating significant improvements in pain scores. However, it is essential to carefully consider the potential complications and continue to refine the surgical technique further to enhance the safety and efficacy of this procedure. Full article
(This article belongs to the Special Issue Clinical Advances in Minimally Invasive Spinal Treatment)
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Review

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15 pages, 283 KiB  
Review
Revolutionizing Spinal Care: Current Applications and Future Directions of Artificial Intelligence and Machine Learning
by Mitsuru Yagi, Kento Yamanouchi, Naruhito Fujita, Haruki Funao and Shigeto Ebata
J. Clin. Med. 2023, 12(13), 4188; https://doi.org/10.3390/jcm12134188 - 21 Jun 2023
Cited by 6 | Viewed by 1860
Abstract
Artificial intelligence (AI) and machine learning (ML) are rapidly becoming integral components of modern healthcare, offering new avenues for diagnosis, treatment, and outcome prediction. This review explores their current applications and potential future in the field of spinal care. From enhancing imaging techniques [...] Read more.
Artificial intelligence (AI) and machine learning (ML) are rapidly becoming integral components of modern healthcare, offering new avenues for diagnosis, treatment, and outcome prediction. This review explores their current applications and potential future in the field of spinal care. From enhancing imaging techniques to predicting patient outcomes, AI and ML are revolutionizing the way we approach spinal diseases. AI and ML have significantly improved spinal imaging by augmenting detection and classification capabilities, thereby boosting diagnostic accuracy. Predictive models have also been developed to guide treatment plans and foresee patient outcomes, driving a shift towards more personalized care. Looking towards the future, we envision AI and ML further ingraining themselves in spinal care with the development of algorithms capable of deciphering complex spinal pathologies to aid decision making. Despite the promise these technologies hold, their integration into clinical practice is not without challenges. Data quality, integration hurdles, data security, and ethical considerations are some of the key areas that need to be addressed for their successful and responsible implementation. In conclusion, AI and ML represent potent tools for transforming spinal care. Thoughtful and balanced integration of these technologies, guided by ethical considerations, can lead to significant advancements, ushering in an era of more personalized, effective, and efficient healthcare. Full article
(This article belongs to the Special Issue Clinical Advances in Minimally Invasive Spinal Treatment)
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