CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2021; 18(01): 07-13
DOI: 10.1055/s-0040-1716429
Review Article

A Review of Minimally Invasive Techniques in Thoracolumbar Trauma

Amol Raheja
1  Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
,
Vivek Tandon
1  Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
,
Kanwaljeet Garg
1  Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
,
Sumit Sinha
2  Department of Neurosurgery and Spine Surgery, Paras Hospital, Gurugram, Haryana, India
› Author Affiliations

Abstract

The development of endoscopy, microscopy, and image guidance system provided the impetus for the adoption of minimally invasive surgery (MIS) techniques in the management of spinal trauma patients. The underlying drive has been an attempt to achieve the functional and biomechanical goals inherent to trauma care but through MIS techniques. Broadly the MIS techniques for spinal trauma can be divided into two categories—fusion and nonfusion methods. Fusion methods include mini-open or keyhole approaches that allow for discectomy and/or corpectomy and cage reconstruction via an anterior/lateral/posterior operative corridor. The nonfusion methods primarily include percutaneous pedicle screw fixation, kyphoplasty, and vertebroplasty, all without placement of bone graft or other attempts at inducing arthrodesis. In this review article, we have stratified the MIS techniques based on the operative corridor used and briefly described the decision-making process, technical nuances, pros, and cons of each technique.



Publication History

Publication Date:
23 February 2021 (online)

© 2021. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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