Clinical Research of Minimally Invasive Spine Surgery

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 25 August 2025 | Viewed by 1042

Special Issue Editors


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Guest Editor
Department of Neurosurgery, ULS São João Academic Center, Porto, Portugal
Interests: minimally invasive spine surgery; patient-centered care; surgery of the craniovertebral junction; spinal cord and intradural spine surgery; percutaneous spinal techniques
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Guest Editor
Department of Neurosurgery, Paris-Versailles Spine Center, Hôpital Privé de Versailles, Les Franciscaines, 78000 Versailles, France
Interests: minimally invasive spine surgery; endoscopic spine surgery; ambulatory and ERAS management in spine surgery; assessment of professional practices; medico-legal research concerning spinal surgery

Special Issue Information

Dear Colleagues,

Minimally invasive spine surgery (MISS) has revolutionized the approach to spine disorders, beginning with early efforts to reduce surgical trauma and enhance recovery. Over the years, technological advancements such as improved surgical instruments, real-time imaging guidance systems, and robotics have further refined these techniques. This advancement in spinal care is a testament to the relentless pursuit of better patient outcomes through innovation and clinical research.

This Special Issue aims to highlight the latest clinical research in minimally invasive spine surgery, exploring new techniques, outcomes, and challenges in the field. We seek to provide a comprehensive overview of current trends, future directions, and the impact of MISS on patient care and recovery. Topics of interest include, but are not limited to, the development of new minimally invasive surgical techniques, comparative studies of MISS versus traditional surgery, advancements in imaging and navigation tools, patient selection criteria, and long-term outcomes.

We encourage submissions that showcase innovative research in MISS, including clinical trials, comparative effectiveness research, technological advancements (e.g., robotics, navigation systems), and novel approaches to patient care and rehabilitation. This includes, but is not limited to, studies on surgical techniques, outcome measures, patient safety, and quality of life assessments. Research that provides insights into the mechanisms underlying the benefits of minimally invasive approaches and their impact on surgical outcomes is particularly welcome. Through this Special Issue, we aim to foster a collaborative environment that encourages the sharing of knowledge and experiences, ultimately advancing the field and improving patient care.

We look forward to your contributions and to advancing our collective knowledge on minimally invasive spine surgery.

Prof. Dr. Paulo Pereira
Dr. Bertrand Debono
Guest Editors

Manuscript Submission Information

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Keywords

  • minimally invasive spine surgery
  • MISS
  • surgical techniques
  • patient outcomes
  • clinical research
  • technological advancements
  • robotics
  • navigation systems
  • patient safety
  • quality of life

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Published Papers (1 paper)

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Research

9 pages, 10407 KiB  
Article
Enhancing Transforaminal Full Endoscopic Discectomy: Efficacy of the Hand Down Outside-In (HDOI) Technique
by Yushi Yamaguchi, Koichiro Ono, Daisuke Fukuhara, Akira Dezawa and Tokifumi Majima
J. Pers. Med. 2024, 14(7), 679; https://doi.org/10.3390/jpm14070679 - 25 Jun 2024
Viewed by 704
Abstract
Endoscopic lumbar discectomy (ELD) is a key advancement in minimally invasive spinal surgery, particularly for lumbar disc herniation. Interlaminar endoscopic lumbar discectomy (IELD) and transforaminal endoscopic lumbar discectomy (TELD) are the two major methods used for FED. TELD, while less familiar to spine [...] Read more.
Endoscopic lumbar discectomy (ELD) is a key advancement in minimally invasive spinal surgery, particularly for lumbar disc herniation. Interlaminar endoscopic lumbar discectomy (IELD) and transforaminal endoscopic lumbar discectomy (TELD) are the two major methods used for FED. TELD, while less familiar to spine surgeons inexperienced in endoscopic surgery, presents challenges in visualizing the dura mater, a crucial aspect for reducing surgical complications. The hand down outside-in (HDOI) technique introduced by Dezawa enhances this visualization by positioning the cannula tip dorsally on the intervertebral disc and maneuvering it between the dura mater and disc to the spinal canal’s midpoint. The cannula is then flipped to directly visualize the dura mater, enabling safe removal of the prolapsed disc material. A comparative study involving 20 patients treated from April 2020 to April 2022 examined the efficacy of the HDOI technique against conventional TELD. Each group, comprising ten patients, underwent ELD for lumbar disc herniation. While both groups showed similar improvements in clinical outcomes, as assessed using the Japanese Orthopedic Association (JOA) score and visual analogue scale (VAS) for pain, the HDOI group exhibited a 100% success rate for dura mater visualization, and this rate is significantly higher than the 60% observed in the conventional TELD group. Additionally, the time required for dura mater visualization was notably shorter for the HDOI technique. These results indicate that the HDOI technique not only enhances the safety and efficacy of TELD but may also encourage its wider use in clinical settings. Full article
(This article belongs to the Special Issue Clinical Research of Minimally Invasive Spine Surgery)
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