• Spine · May 2006

    Review

    Use of minimally invasive surgical techniques in the management of thoracolumbar trauma: current concepts.

    • Y Raja Rampersaud, Neel Annand, and Mark B Dekutoski.
    • Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada. raja.rampersaud@uhn.on.ca
    • Spine. 2006 May 15;31(11 Suppl):S96-102; discussion S104.

    Study DesignLiterature review and expert opinion.ObjectiveTo provide an overview of the current concepts of minimally invasive surgical (MIS) techniques for the management of thoracolumbar (TL) spinal trauma.Summary Of Background DataCurrent surgical treatment of thoracolumbar trauma typically involves open placement of spinal instrumentation with fusion. Conventional open spinal exposures can be associated with significant muscle morbidity that can lead to subsequent paraspinal muscular atrophy, scarring, decreased extensor strength and endurance, as well as pain. This approach-related morbidity is the main impetus for application MIS techniques to spinal procedures including trauma.MethodsA review of the relevant English literature was performed.ResultsThe current rationale, clinical applications, outcomes, and limitation of MIS management of TL injuries are summarized.ConclusionThe application of MIS techniques to spinal trauma is theoretically sound. However, the indications and technology are currently in evolution. Although very limited information is available, the results of current MIS techniques for the management of TL trauma are encouraging.

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