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Progress in minimally invasive surgery for adjacent segment disease after lumbar fusion – Published Article

The article discusses the use of percutaneous spinal endoscopy and the cortical tone trajectory (CBT) screw placement technique in the surgical management of adjacent segment disease (ASDis), a common complication of posterior lumbar spine fusion. Percutaneous spinal endoscopy allows for simple decompression without removing the original internal fixation or for posterior fixation and fusion, resulting in less surgical trauma, less bleeding, and faster postoperative recovery. The CBT screw placement technique reduces damage to the adjacent synovial joint during surgery and preserves the original internal fixation, significantly reducing surgical trauma. Furthermore, the use of digital technologies such as three-dimensional printed guides, CT navigation, and robotics enables more precise placement of CBT screws and can be considered a minimally invasive procedure for fusion in ASDis patients. The article reviews the existing literature on these techniques

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine hospital on Harley Street UK

Published article

Adjacent segment disease (ASDis) is a common complication of posterior lumbar spine fusion and often requires surgical treatment. In the treatment of ASDis, percutaneous spinal endoscopy can be used for simple decompression without removal of the original internal fixation, or for posterior fixation and fusion under the scope or in combination with other access fixation and fusion techniques, with the advantages of less surgical trauma, less bleeding, and faster postoperative recovery….

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Zhonghua Wai Ke Za Zhi. 2023 Jun 30;61(8):722-727. doi: 10.3760/cma.j.cn112139-20230220-00074. Online ahead of print.ABSTRACTAdjacent segment disease (ASDis) is a common complication of posterior lumbar spine fusion and often requires surgical treatment. In the treatment of ASDis, percutaneous spinal endoscopy can be used for simple decompression without removal of the original internal fixation, or for posterior,

Zhonghua Wai Ke Za Zhi. 2023 Jun 30;61(8):722-727. doi: 10.3760/cma.j.cn112139-20230220-00074. Online ahead of print.

ABSTRACT

Adjacent segment disease (ASDis) is a common complication of posterior lumbar spine fusion and often requires surgical treatment. In the treatment of ASDis, percutaneous spinal endoscopy can be used for simple decompression without removal of the original internal fixation, or for posterior fixation and fusion under the scope or in combination with other access fixation and fusion techniques, with the advantages of less surgical trauma, less bleeding, and faster postoperative recovery. Traditional trajectory screw technique is one of the risk factors for adjacent segment degeneration because of its tendency to cause damage to the adjacent synovial joint during surgery. In contrast, the cortical tone trajectory (CBT) screw placement technique not only reduces the damage to the articular joint during the screw placement process, but also preserves the original internal fixation in the treatment of ASDis, which significantly reduces the surgical trauma. Secondly, the implantation of CBT screws with the aid of digital technologies such as three-dimentinal printed guides, CT navigation, and robotics allows for more precise “double nailing” of ASDis patients to complete the fusion of adjacent segments, and is a minimally invasive procedure to be considered for patients who meet the clinical indications for fusion. This article reviews the literature on the use of percutaneous spinal endoscopy and CBT in the surgical management of ASDis.

PMID:37400215 | DOI:10.3760/cma.j.cn112139-20230220-00074

The London Spine Unit : innovative spine hospital on Harley Street UK

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Progress in minimally invasive surgery for adjacent segment disease after lumbar fusion

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Zhonghua Wai Ke Za Zhi. 2023 Jun 30;61(8):722-727. doi: 10.3760/cma.j.cn112139-20230220-00074. Online ahead of print.ABSTRACTAdjacent segment disease (ASDis) is a common complication of posterior lumbar spine fusion and often requires surgical treatment. In the treatment of ASDis, percutaneous spinal endoscopy can be used for simple decompression without removal of the original internal fixation, or for posterior

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