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Selected Instructional Course Lecture   |    
The Current State of Minimally Invasive Spine Surgery
Choll W. Kim, MD, PhD1; Krzysztof Siemionow, MD2; D. Greg Anderson, MD3; Frank M. Phillips, MD2
1 Spine Institute of San Diego, 6719 Alvarado Road, #308, San Diego, CA 92120. E-mail address: chollkim@sdspineinstitute.com
2 Department of Orthopaedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612
3 Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits or a commitment or agreement to provide such benefits from commercial entities (Tolera Therapeutics, SANUWAVE, Teraphysics, Globus, Synthes, and NuVasive [in excess of $10,000] and Alphatec Spine [less than $10,000]).

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2011 in Instructional Course Lectures, Volume 60. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Mar 16;93(6):582-596
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Extract

The last decade has seen an evolution of minimally invasive spine surgery with new technological developments. Minimally invasive spine surgery is thought to decrease postoperative pain and allow quicker recovery by limiting soft-tissue retraction and dissection. Advances in microscopy, tissue retractors, and specialized instruments have enabled surgeons to perform procedures through small incisions. As with the open approach, the goals of the minimally invasive approach are to adequately decompress the involved neural elements, stabilize the motion segment, and/or realign the spinal column according to the needs of the individual patient. This article is an overview of the current state of minimally invasive spine surgery and a discussion of the key biologic concepts of posterior lumbar decompression as well as posterior and lateral fusion techniques.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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