We read with great interest the recent article by Ang et al. [
[1]
], titled “Minimally invasive compared with open lumbar laminotomy: no functional benefits
at 6 or 24 months after surgery.” The authors compared the functional and pain outcomes
of 30 patients with open laminotomies against 83 patients with minimally invasive
surgery (MIS) laminotomies at 6 and 24 months. They concluded that “MIS lumbar laminotomy
gave no clear advantages in long-term functional or pain scores. The MIS group also
had patients with inadvertent durotomies and reoperation within 2 years. In any lumbar
decompressive surgery, the purported advantages of an MIS approach should be carefully
weighed against potential complications.”To read this article in full you will need to make a payment
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References
- Minimally invasive compared with open lumbar laminotomy: no functional benefits at 6 or 24 months after surgery.Spine J. 2013;http://dx.doi.org/10.1016/j.spinee.2013.07.461
- Management of incidental durotomy in minimally invasive spine surgery.Neurosurg Focus. 2011; 31: E15
- Incidence of unintended durotomy in spine surgery based on 108,478 cases.Neurosurgery. 2011; 68: 117-123
- Clinical outcome of microendoscopic posterior decompression for spinal stenosis associated with degenerative spondylolisthesis—minimum 2-year outcome of 37 patients.Minim Invasive Neurosurg. 2008; 51: 267-271
- Clinical outcomes and radiologic changes following microsurgical bilateral decompression via a unilateral approach in patients with lumbar canal stenosis and grade I degenerative spondylolisthesis with a minimum 3-year follow-up.J Spinal Disord Tech. 2012;http://dx.doi.org/10.1097/BSD.0b013e31827566a8
- Long-term results of microsurgical treatment of lumbar spinal stenosis by unilateral laminotomy for bilateral decompression.Neurosurgery. 2006; 59: 1264-1269
- The effect of obesity on clinical outcomes after lumbar fusion.Spine. 2008; 33: 1789-1792
- The future of minimally invasive spine surgery.Neurosurgery. 2013; 60: 13-19
- Obesity and self-reported outcome after minimally invasive lumbar spinal fusion surgery.Neurosurgery. 2008; 63: 956-960
- Minimally invasive lumbar spinal decompression in the elderly: outcomes of 50 patients aged 75 years and older.Neurosurgery. 2007; 60: 503-509
- Paradigm changes in spine surgery: evolution of minimally invasive techniques.Nat Rev Neurol. 2012; 8: 443-450
Article info
Footnotes
FDA device/drug status: Not applicable.
Author disclosures: LAT: Nothing to disclose. MKK: Nothing to disclose. RGF: Nothing to disclose.
Source of support: None.
Source of funding: None.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
