0
The Orthopaedic Forum   |    
An AOA Critical Issue: Less Invasive Procedures in Spine Surgery*
Edward Hanley, MD; Neil E. Green, MD; Dan M. Spengler, MD
View Disclosures and Other Information
Edward Hanley, MD
Department of Orthopaedics, Carolinas Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28203

Neil E. Green, MDDan M. Spengler, MDMedical Center North, D-4219 MCN, 1161 21st Avenue South, Nashville, TN 37232-2550

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

*This report is based on a symposium presented at the Combined Annual Meetings of the American Orthopaedic Association and the Canadian Orthopaedic Association, on June 3, 2002, in Victoria, British Columbia, Canada.


J Bone Joint Surg Am, 2003 May 01;85(5):956-961
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

The financial pressures on the health-care system and the push to reduce hospital stays have provided a strong impetus toward minimally invasive procedures in all surgical specialties. These procedures frequently are associated with decreased perioperative morbidity, decreased duration of hospital stay, and reduced costs. Minimally invasive procedures are often popularized in the media or are advertised, and surgeons sometimes feel pressure to use new procedures to maintain a competitive practice. However, these types of procedures frequently require highly specialized equipment and training, and their outcome in the context of more traditional approaches needs to be carefully considered. Additionally, these procedures are often associated with unique and sometimes catastrophic complications. Lumbar microdiscectomy, video-assisted thoracoscopic surgery, and kyphoplasty represent relatively new minimally invasive techniques in spine surgery. We will discuss the current status of these procedures and the evidence supporting their increasing use in the management of spine patients. Patient selection remains a key to success for the newer minimally invasive techniques.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Guidelines
    Assessment and management of chronic pain. -Institute for Clinical Systems Improvement
    Results provided by:
    PubMed
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    12/31/2013
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    03/05/2014
    Oklahoma - The University of Oklahoma
    01/22/2014
    Pennsylvania - Penn State Milton S. Hershey Medical Center
    11/15/2013
    Louisiana - Ochsner Health System