How often is minimally invasive minimally effective: what are the complication rates for minimally invasive surgery?

Surgical Neurology
Nancy E Epstein

Abstract

Minimally invasive spine surgery is being popularized as a safe and effective alternative to open spine procedures. However, the negative results of this procedure are typically underreported in the literature because few spine surgeons submit and even fewer journals publish negative results. Using personal communications and second opinions with or without secondary surgery, the author reviewed negative results occurring within 1 year concerning 2 minimally invasive lumbar procedures: MED/METRx (Medtronic, Memphis, Tenn) and X-Stop (Kyphon Inc, St Francis Medical Technologies Inc, Alameda, Calif). For, MED/METRx, 4 patients underwent MED/METRx procedures at outside institutions. Two patients reoperated upon by the author showed no evidence of scarring at the site of the lateral and far lateral disk herniations. The third patient (seen for second opinion only) exhibited progressive L4-5 discitis/osteomyelitis on successive MRI studies and was referred back to her original surgeon. The fourth patient (personal communication) underwent 2 MED/METRx procedures within 2 days for recurrent/residual disk herniation excision. An evolving cauda equina syndrome 1 month later required open surgery to repair a CSF fistula. For X-Stop, thro...Continue Reading

References

Dec 20, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J F ZuchermanR M Ozuna
Sep 7, 2004·Neurosurgical Focus·Robert E IsaacsRichard G Fessler
Dec 21, 2006·Journal of Neurosurgery. Spine·Ken Y HsuRichard M Ozuna

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Citations

Dec 24, 2013·The Spine Journal : Official Journal of the North American Spine Society·Jian Wang, Yue Zhou
Jan 26, 2012·Surgical Neurology International·Nancy E Epstein
Apr 16, 2011·World Neurosurgery·Thomas P LoAustin R T Colohan
Feb 9, 2010·Neuro-Chirurgie·P Fransen
Sep 24, 2008·The Spine Journal : Official Journal of the North American Spine Society·Nancy E Epstein
Jul 24, 2012·Neuro-Chirurgie·R Billon-GrandH Katranji
May 26, 2017·Surgical Neurology International·Nancy E Epstein
Mar 25, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kaveh KhajaviAnthony Hutchison
Apr 8, 2020·Surgical Neurology International·Nancy E Epstein

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