Yi‑Jen Hoa, Wen‑Chun Chiangb, Ying‑Chao Linc,d*
aDepartment of Neurosurgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan, bDepartment of Chest Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan, cNeuroscience Spine Center, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan, dSchool of Medicine, Tzu Chi University, Hualien, Taiwan
Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation
Abstract
Objectives: Minimally invasive surgery (MIS) has emerged as a promising alternative to conventional open techniques in the management of adolescent idiopathic scoliosis (AIS). Materials and Methods: This study presents a case series of six patients who underwent MIS for AIS at a spine center, employing a synergistic blend of intraoperative fluoroscopy, cone‑beam computed tomography scans, and three‑dimensional navigation technology. The surgical procedures were meticulously guided, with a focus on ensuring safety and precision in posterior pedicle fixation. Results: Our findings demonstrate substantial correction of spinal curvature postoperatively, with a mean Cobb’s angle reduction of 51.75%. In addition, MIS facilitated a mean estimated blood loss of 241.67 ml and a mean surgical duration of 391.33 min. Conclusion: Comparison with conventional open techniques reveals comparable or superior outcomes in terms of correction rates, patient recovery, and opioid usage. This study underscores the potential of MIS in achieving favorable clinical outcomes while minimizing surgical impact and advancing the treatment landscape for AIS.
Keywords: Adolescent idiopathic scoliosis, Minimally invasive spine surgery, Navigation surgery
