Challenges Hindering Widespread Adoption of Minimally Invasive Spinal Surgery.

Publication Type	Review
Authors	Goldberg J, Härtl R, Elowitz E
Journal	World Neurosurg
Volume	163
Pagination	228-232
Date Published	07/01/2022
ISSN	1878-8769
Keywords	Minimally Invasive Surgical Procedures, Spine
Abstract	Minimally invasive spinal surgery (MISS) techniques offer several beneficial prospects and are being increasingly requested by patients. However, these techniques have not been uniformly adopted by spinal surgeons, and they remain controversial among some. Several barriers have prevented widespread adoption of MISS. These include concerns regarding high start-up costs, limited evidence base, and lack of surgeon training. In addition, the unique approaches involved in MISS expose spinal surgeons to unfamiliar anatomy. Further, while MISS can address a growing spectrum of spinal pathology, some conditions, as well as complications encountered during MISS procedures, require open surgery. This requires surgeons to not only acquire the new and specialized MISS skillset but also maintain their ability to perform open surgery. These factors present challenges common to developing and innovative surgical techniques. Here, we review the barriers preventing wider adoption of MISS and present a framework to promote the safe and effective growth of MISS.
DOI	10.1016/j.wneu.2022.03.129
PubMed ID	35729824