Posters
Academic Level (Author 1)
Medical Student
Discipline/Specialty (Author 1)
Orthopedic Surgery
Academic Level (Author 2)
Medical Student
Discipline/Specialty (Author 2)
Orthopedic Surgery
Academic Level (Author 3)
Medical Student
Discipline/Specialty (Author 3)
Orthopedic Surgery
Discipline Track
Clinical Science
Abstract
Introduction: Spine diseases and degeneration of the spine are common causes of back pain. One common cause of back pain is spondylolisthesis which is the slipping of a vertebral body disc. A subtype of spondylolisthesis is degenerative spondylolisthesis which commonly occurs due to wasting of the intervertebral disc leading to an unstable spine. In patients with a lack of neurological issues, conservative treatment is recommended. If conservative treatment is ineffective, surgery is deemed the next step, involving decompression of and fusion of the vertebrae. Minimally invasive surgery (MIS) techniques have emerged in the last decade. This systematic literature review aims to compare the benefits or complications of MIS techniques to open surgery (OS) and determine whether MIS provides an increased benefit to patients living with degenerative spondylolisthesis.
Methods: Databases that were used include: PubMed, Google Scholar, and Embase. The search was performed using a combination of keywords such as “degenerative spondylolisthesis,” “minimally invasive surgery,” “MIS,” “spinal fusion,” “TLIF,” “PLIF,” “LLIF,” and “ALIF”. To ensure that the research used was relevant only articles published within the last 10 years, 2014-2024, were utilized. An exception was made for older articles that described past surgical techniques for cohesiveness.
Results: The literature analyzed has demonstrated patients undergoing MIS stayed an average of 5.3 days compared to OS who stayed an average of 8 days. Patients also experienced less back and leg pain 3 months after surgery with MIS which was measured using the visual analog scale (VOS). Traditional surgery could pose some benefits as well. It has been found that OS can provide increased spinal fusion stability compared to MIS.
Conclusions: MIS techniques provide numerous benefits such as decreased blood loss, and faster recovery times. However, open surgery poses some benefits as well. Surgical treatment for degenerative spondylolisthesis should be determined based on the patient's needs. More research needs to be conducted on the benefits of MIS and ultimately, surgical treatment should be decided based on what is best for the patient.
Presentation Type
Poster
Recommended Citation
Gutierrez, Yolanda V.; Martin, Blake; Nwose, Joshua; and Ablove, Robert H., "Literature review: Exploring the efficacy of minimally invasive surgery (MIS) techniques in spinal fusion for degenerative spondylolisthesis" (2024). Research Colloquium. 53.
https://scholarworks.utrgv.edu/colloquium/2024/posters/53
Included in
Literature review: Exploring the efficacy of minimally invasive surgery (MIS) techniques in spinal fusion for degenerative spondylolisthesis
Introduction: Spine diseases and degeneration of the spine are common causes of back pain. One common cause of back pain is spondylolisthesis which is the slipping of a vertebral body disc. A subtype of spondylolisthesis is degenerative spondylolisthesis which commonly occurs due to wasting of the intervertebral disc leading to an unstable spine. In patients with a lack of neurological issues, conservative treatment is recommended. If conservative treatment is ineffective, surgery is deemed the next step, involving decompression of and fusion of the vertebrae. Minimally invasive surgery (MIS) techniques have emerged in the last decade. This systematic literature review aims to compare the benefits or complications of MIS techniques to open surgery (OS) and determine whether MIS provides an increased benefit to patients living with degenerative spondylolisthesis.
Methods: Databases that were used include: PubMed, Google Scholar, and Embase. The search was performed using a combination of keywords such as “degenerative spondylolisthesis,” “minimally invasive surgery,” “MIS,” “spinal fusion,” “TLIF,” “PLIF,” “LLIF,” and “ALIF”. To ensure that the research used was relevant only articles published within the last 10 years, 2014-2024, were utilized. An exception was made for older articles that described past surgical techniques for cohesiveness.
Results: The literature analyzed has demonstrated patients undergoing MIS stayed an average of 5.3 days compared to OS who stayed an average of 8 days. Patients also experienced less back and leg pain 3 months after surgery with MIS which was measured using the visual analog scale (VOS). Traditional surgery could pose some benefits as well. It has been found that OS can provide increased spinal fusion stability compared to MIS.
Conclusions: MIS techniques provide numerous benefits such as decreased blood loss, and faster recovery times. However, open surgery poses some benefits as well. Surgical treatment for degenerative spondylolisthesis should be determined based on the patient's needs. More research needs to be conducted on the benefits of MIS and ultimately, surgical treatment should be decided based on what is best for the patient.