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Joint Bone Spine
Volume 71, n° 6
pages 459-469 (novembre 2004)
Doi : 10.1016/j.jbspin.2004.08.006
Received : 30 August 2004 ;  accepted : 30 August 2004
Minimal access spinal technologies: state-of-the-art, indications, and techniques

Richard Assaker
Neurosurgery Department, Roger Salengro Teaching Hospital, 59037 Lille cedex, France 

*Corresponding author. Tel.: +33-3-20-44-66-15; fax: +33-3-20-44-66-23.

Minimal access spinal technologies aim primarily at minimizing the trauma associated with surgical exposure of the spine. They owe their existence mainly to recent progress in optical and imaging devices and to the development of instrumentations specifically designed for insertion via minimally invasive approaches. No published scientific studies have proved that minimally invasive techniques are superior over standard techniques. However, patients benefit from the decreased postoperative pain, shorter hospital stay, and expedited return to normal activities. Finally, minimal access spinal technologies are evolving at a fast pace. Progress is being made in defining the indications, and assessable results have been obtained for a number of lesions. This article describes the main techniques and highlights the beneficial effects on patient comfort.

The full text of this article is available in PDF format.

Keywords : Spinal surgery, Thoracoscopy, Laparoscopy, Minimally invasive spinal surgery, Minimal access spinal technologies, Video-assisted spinal surgery

© 2004  Published by Elsevier Masson SAS.
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