Spine
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Literature review. ⋯ With these relatively simple modifications to surgical technique, significant improvements in intraoperative blood loss, postoperative pain, surgical morbidity, return of function, among others, have been achieved. However, MIS techniques remain technically demanding and a significant complication rate has been observed during the initial learning curve of the procedures.
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Prospective multicenter nonrandomized institutional review board-approved observational study of clinical and radiographic outcomes of the extreme lateral interbody fusion (XLIF) procedure in adult scoliosis. ⋯ The morbidity in adult scoliosis surgery is minimized with less invasive techniques. The rate of major complications in this study (12.1%) compares favorably to that reported from other studies of surgery for degenerative deformity.
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Review
Minimally invasive transforaminal lumbar interbody fusion: a review of techniques and outcomes.
Review of published literature. ⋯ More studies designed to provide class I or II data will be needed in the future to further solidify the favorable results observed so far with the MIS TLIF procedure.
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This is a case series studying the efficacy of concomitant inhalational anesthesia and transcranial electrical motor-evoked potential (tceMEP) monitoring in spinal deformity surgery. ⋯ Although isoflurane and nitrous oxide diminish tceMEP responses, reliable monitoring can still be accomplished while using significant levels of inhalational anesthetic agents.
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Prospective nonrandomized clinical study on the decompressive effect of the extreme lateral interbody fusion (XLIF) procedure. ⋯ The XLIF procedure provides the necessary decompression for the treatment of central and/orlateral stenosis in a minimally disruptive way, avoiding, in most cases, the need for the direct resection of posterior elements and associated morbidities. Indirect decompression may be limited in cases of congenital stenosis and/or locked facets. Its effect may also be reduced by postoperative subsidence and/or loss of correction.