Restoration of Thoracolumbar Spine Stability and Alignment in Elderly Patients Using Minimally Invasive Spine Surgery (MISS). A Safe and Feasible Option in Degenerative and Traumatic Spine Diseases.

Minimally invasive spine surgery (MISS), including percutaneous pedicle-screw fixation (PPSF), mini-open transforaminal lumbar interbody fusion (m-open TLIF), vertebroplasty, and stentoplasty, allows the preservation of neurological function and the restoration of spine stability, while reducing associated risks and complications. This study aimed to analyze the safety and efficacy of MISS in elderly patients suffering from degenerative or traumatic thoracolumbar diseases. Forty-five patients (28 females), with a mean age of 73 years (range 65-89), suffering from osteoporotic vertebral fractures (24), degenerative spondylolisthesis (15), and lumbar canal stenosis with instability and/or de novo scoliosis (6) were included.

Bilateral tubular minimally invasive surgery for low-dysplastic lumbosacral lytic spondylolisthesis (LDLLS): analysis of a series focusing on postoperative sagittal balance and review of the literature.

Purpose: To report our early experience with minimally invasive surgery (MIS) in low-dysplastic lumbosacral lytic spondylolisthesis (LDLLS), and to analyze the impact of surgery on postoperative spino-pelvic and sacro-pelvic parameters.

Methods: Eight patients (mean age 47.6 years) underwent MIS for LDLLS involving in all but one the L5-S1 level.

Pull-out strength of the suprapedicle claw construct: a biomechanical study.

The pull-out of the superior screw is a well recognized problem in anterior instrumentation of the spine for scoliosis. A biomechanical pull-out study of anterior vertebral body screw in cadaveric thoracic spine was therefore designed to investigate and compare the pull-out strength of three different anterior vertebral body fixations using the AO Universal Spine System: simple bicortical screw, bicortical screw with an opposite washer (sometimes called pull-out resistant nut), and a new construct made of a bicortical screw with the addition of a suprapedicular hook on the same vertebra (or claw construct). The T4 to T9 vertebral bodies from six human cadavers (total of 36 specimens) were instrumented with three different instrumentation constructs after measuring the bone mineral density of each individual vertebra.