Advancing Personalized Spine Surgery Through Minimally Invasive Techniques—Perspectives from Inter-American Society for Minimally Invasive Spine Surgery (SICCMI)

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: 28 February 2025 | Viewed by 2827

Special Issue Editor


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Guest Editor
1. Division of Personalized Pain Therapy Research & Education, Center for Advanced Spine Care of Southern Arizona, 4787 E Camp Lowell Drive, Tucson, AZ 85712, USA
2. Department of Orthopaedics, Fundación Universitaria Sanitas, Bogotá 111321, Colombia
3. Department of Orthopedics, Hospital Universitário Gaffre e Guinle, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro 21941-590, RJ, Brazil
Interests: spinal surgery; spinal disorders; thoracic and lumbar spine
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Special Issue Information

Dear Colleagues,

In an era where precision and personalized care are paramount, the Sociedad Interamericana de Cirugía Mínimamente Invasiva de Columna (SICCMI), or the Inter-American Society for Minimally Invasive Surgery of the Spine, is emerging as a beacon of innovation and excellence. Dedicated to revolutionizing spine surgery through minimally invasive techniques, SICCMI and its member surgeons from across Latin America stand at the forefront of advancing patient-centered care in the field of spinal health across the Americas.

Founded on the principles of collaboration, education, and innovation, SICCMI brings together a diverse community of spine surgeons, researchers, and healthcare professionals committed to pushing the boundaries of traditional spinal interventions. Through continuous research, training, and the dissemination of best practices, SICCMI aims to enhance surgical outcomes, minimize patient discomfort, and accelerate recovery times.

At the heart of SICCMI’s mission lies a dedication to personalized medicine. Recognizing that each patient presents with unique anatomical variations, expectations, values, and clinical needs, SICCMI advocates for a tailored approach to spine surgery that prioritizes individualized care pathways. SICCMI empowers surgeons to deliver precise, targeted interventions that optimize patient outcomes and improve quality of life by harnessing the latest advancements in minimally invasive technologies and techniques to treat validated pain generators.

Through its collaboration with the Journal of Personalized Medicine (JPM), SICCMI seeks to share cutting-edge research and clinical insights. This collaboration is not just about sharing knowledge but also sparking innovation and redefining the standards of care in spine surgery. By fostering a dynamic exchange of knowledge and expertise utilizing JPM’s platform, SICCMI aims to drive innovation, promote excellence, and ultimately transform spine care by implementing less burdensome clinical protocols.

We invite prospective authors to join us on our mission to transform lives, empower patients, and revolutionize spinal health through the power of minimally invasive surgery and personalized medicine.

Dr. Kai-Uwe Lewandrowski
Guest Editor

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Keywords

  • spine surgery
  • minimally invasive techniques
  • personalized care
  • personalized medicine
  • precision imaging
  • 3D printing in orthopedics
  • biomarkers in spinal health
  • artificial intelligence in surgery
  • robotics in spine surgery
  • genomics and spinal disorders
  • pain management and rehabilitation
  • surgical navigation systems
  • biocompatible materials for implants
  • patient-specific surgical planning
  • regenerative medicine in spine health
  • future trends in spinal surgery

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Published Papers (2 papers)

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31 pages, 4570 KiB  
Perspective
Advancements in Custom 3D-Printed Titanium Interbody Spinal Fusion Cages and Their Relevance in Personalized Spine Care
by Kai-Uwe Lewandrowski, Shaleen Vira, John C. Elfar and Morgan P. Lorio
J. Pers. Med. 2024, 14(8), 809; https://doi.org/10.3390/jpm14080809 - 30 Jul 2024
Viewed by 1689
Abstract
3D-printing technology has revolutionized spinal implant manufacturing, particularly in developing personalized and custom-fit titanium interbody fusion cages. These cages are pivotal in supporting inter-vertebral stability, promoting bone growth, and restoring spinal alignment. This article reviews the latest advancements in 3D-printed titanium interbody fusion [...] Read more.
3D-printing technology has revolutionized spinal implant manufacturing, particularly in developing personalized and custom-fit titanium interbody fusion cages. These cages are pivotal in supporting inter-vertebral stability, promoting bone growth, and restoring spinal alignment. This article reviews the latest advancements in 3D-printed titanium interbody fusion cages, emphasizing their relevance in modern personalized surgical spine care protocols applied to common clinical scenarios. Furthermore, the authors review the various printing and post-printing processing technologies and discuss how engineering and design are deployed to tailor each type of implant to its patient-specific clinical application, highlighting how anatomical and biomechanical considerations impact their development and manufacturing processes to achieve optimum osteoinductive and osteoconductive properties. The article further examines the benefits of 3D printing, such as customizable geometry and porosity, that enhance osteointegration and mechanical compatibility, offering a leap forward in patient-specific solutions. The comparative analysis provided by the authors underscores the unique challenges and solutions in designing cervical, and lumbar spine implants, including load-bearing requirements and bioactivity with surrounding bony tissue to promote cell attachment. Additionally, the authors discuss the clinical outcomes associated with these implants, including the implications of improvements in surgical precision on patient outcomes. Lastly, they address strategies to overcome implementation challenges in healthcare facilities, which often resist new technology acquisitions due to perceived cost overruns and preconceived notions that hinder potential savings by providing customized surgical implants with the potential for lower complication and revision rates. This comprehensive review aims to provide insights into how modern 3D-printed titanium interbody fusion cages are made, explain quality standards, and how they may impact personalized surgical spine care. Full article
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15 pages, 1081 KiB  
Perspective
New Perspectives on Risk Assessment and Anticoagulation in Elective Spine Surgery Patients: The Impact of Ultra-Minimally Invasive Endoscopic Surgery Techniques on Patients with Cardiac Disease
by Alexandre Siciliano, Kai-Uwe Lewandrowski, Sergio Luis Schmidt, Rossano Kepler Alvim Fiorelli, Paulo Sérgio Teixeira de Carvalho, Abduljabbar Alhammoud, Stenio Karlos Alvim Fiorelli, Marcos Arêas Marques and Morgan P. Lorio
J. Pers. Med. 2024, 14(7), 761; https://doi.org/10.3390/jpm14070761 - 17 Jul 2024
Viewed by 933
Abstract
The advent of ultra-minimally invasive endoscopic spine surgery, characterized by significantly reduced surgery times, minimal blood loss, and minimal tissue trauma, has precipitated a paradigm shift in the preoperative management of patients with cardiac disease undergoing elective spine procedures. This perspective article explores [...] Read more.
The advent of ultra-minimally invasive endoscopic spine surgery, characterized by significantly reduced surgery times, minimal blood loss, and minimal tissue trauma, has precipitated a paradigm shift in the preoperative management of patients with cardiac disease undergoing elective spine procedures. This perspective article explores how these advancements have influenced the requirements for preoperative cardiac workups and the protocols surrounding the cessation of anticoagulation and antiplatelet therapies. Traditionally, extensive cardiac evaluations and the need to stop anticoagulation and antiplatelet agents have posed challenges, increasing the risk of cardiac events and delaying surgical interventions. However, the reduced invasiveness of endoscopic spine surgery presents a safer profile for patients with cardiac comorbidities, potentially minimizing the necessity for rigorous cardiac clearance and allowing for more flexible anticoagulation management. This perspective article synthesizes current research and clinical practices to provide a comprehensive overview of these evolving protocols. It also discusses the implications of these changes for patient safety, surgical outcomes, and overall healthcare efficiency. Finally, the article suggests directions for future research, emphasizing the need for updated guidelines that reflect the reduced perioperative risk associated with these innovative surgical techniques. This discussion is pivotal for primary care physicians, surgeons, cardiologists, and the broader medical community in optimizing care for this high-risk patient population. Full article
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