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Minimally Invasive Spinal Treatment (MIST)—a New Concept in the Treatment of Spinal Diseases Ⅱ

This special issue belongs to the section “Neurology“.

Special Issue Information

Dear Colleagues,

Due to an aging population and the needs of patients with spinal disorders, minimally invasive surgery (MIS) techniques are gaining popularity. MIS is a widely developing field that has the potential to decrease surgical risks and improve recovery, compared with traditional open spinal surgery. MIS techniques were initially applied to spinal decompression surgeries, with specific examples being microendoscopic discectomy (MED) and full-endoscopic surgery (FES). To date, these endoscopic surgeries have been widelypracticed and combined with various surgical procedures, including laminectomy, laminoplasty, and foraminotomy. During the last decade, MIS techniques have also been applied to spinal fusion or stabilization techniques, which are classified as minimally invasive spine stabilization (MISt) procedures and include percutaneous pedicle screw (PPS) fixation, lateral lumbar interbody fusion, balloon kyphoplasty, percutaneous vertebroplasty, interspinous process motion-sparing implant, cortical bone trajectory, and cervical total disc replacement. In particular, procedures that involve PPS are practiced widely, such as MIS-transforaminal lumbar interbody fusion (TLIF) and MIS long fixation. Although MIS procedures provide many advantages, they are associated with several problems and limitations, including technical difficulties, training opportunities, and radiation exposure, among others. These downsides of surgical treatments make conservative treatments a more feasible option. The field has witnessed advancements in pharmacological treatments, biologics, and rehabilitation therapy. During and after the coronavirus pandemic, spinal surgeons should consider not only various MIS surgical techniques, but also medical expenses and the use of conservative treatment. The concept of such a treatment strategy has been recently proposed as “minimally invasive spinal treatment (MIST)”.

Dr. Ken Ishii
Dr. Haruki Funao
Dr. Tadatsugu Morimoto
Dr. Koji Akeda
Guest Editors

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Keywords

  • minimally invasive spinal treatment (MIST)
  • minimally invasive spine stabilization (MISt)
  • percutaneous pedicle screws (PPS)
  • lateral lumbar interbody fusion (LLIF)
  • spinal endoscopic surgery
  • micro-endoscopic discectomy (MED)
  • full-endoscopic spine surgery (FESS)
  • MIS long fixation
  • trans-sacral canal plasty (TSCP)
  • navigation-guided spine surgery
  • physical therapy for spinal disorders
  • MIS-transforaminal lumbar interbody fusion (MIS-TLIF)
  • regenerative medicine for spinal disorders
  • osteoporosis
  • conservative treatment
  • radiation exposure

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Medicina - ISSN 1648-9144