Minimally Invasive Approaches to Adult Spinal Deformity Correction

Abstract

The management of adult spinal deformity has undergone a transformative shift with the emergence of minimally invasive approaches. Traditionally, the correction of complex spinal curvatures necessitated extensive open surgeries to perform the osteotomies and instrumentation, contributing to long and high-risk operations. However, the advent of minimally invasive techniques has ushered in a new era of patient-centric care. These innovative approaches entail smaller incisions, reduced tissue disruption, and advanced navigational tools that in many instances yield satisfactory and comparable results. The benefits are manifold: decreased blood loss, shorter hospitalizations, faster recovery times, and improved patient satisfaction. This chapter highlights the profound impact of these techniques on patient outcomes and healthcare systems. Nonetheless, challenges remain. Surgeons must navigate a steep learning curve, and there are limitations in addressing severe deformities through minimally invasive means. Rigorous patient selection and meticulous preoperative planning are pivotal to achieving success.