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Minimally Invasive Surgery
Volume 2018 (2018), Article ID 4185840, 6 pages
https://doi.org/10.1155/2018/4185840
Research Article

The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery

1Department of Neurological Surgery, Feinberg School of Medicine, Chicago, IL, USA
2Feinberg School of Medicine, Chicago, IL, USA

Correspondence should be addressed to Michael B. Cloney; moc.oohay@yenolc.leahcim

Received 28 August 2017; Accepted 11 December 2017; Published 24 January 2018

Academic Editor: Stephen Kavic

Copyright © 2018 Michael B. Cloney et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Recently, minimally invasive surgery (MIS) has been included among the treatment modalities for scoliosis. However, literature comparing MIS to open surgery for scoliosis correction is limited. The objective of this study was to compare outcomes for scoliosis correction patients undergoing MIS versus open approach. Methods. We retrospectively collected data on demographics, procedure characteristics, and outcomes for 207 consecutive scoliosis correction surgeries at our institution between 2009 and 2015. Results. MIS patients had lower number of levels fused (), shorter surgeries (), and shorter overall lengths of stay (), were less likely to be admitted to the ICU (), and had shorter ICU stays (). On multivariable regression, number of levels fused predicted selection for MIS procedure (), and multiple other variables showed trends toward significance. Age predicted ICU admission and VTE. BMI predicted any VTE, and DVT specifically. Comorbid disease burden predicted readmission, need for transfusion, and ICU admission. Number of levels fused predicted prolonged surgery, need for transfusion, and ICU admission. Conclusions. Patients undergoing MIS correction had shorter surgeries, shorter lengths of stay, and shorter and fewer ICU stays, but there was a significant selection effect. Accounting for other variables, MIS did not independently predict any of the outcomes.