MISS: 7.6 d Open: 11.2 d |
Neurologic recovery: no difference |
MISS has similar efficacy treating flexion-distraction injuries and allows for reduced blood loss and tissue damage, relative to open surgery. |
MISS: 18.6 d Open: 27.5 d |
Neurologic recovery: no difference x-ray time: MISS 41.6 s vs open 18.0 s VAS: MISS 1.1 vs open 2.4 |
MISS as effective as open surgery and minimizes approach-related complications. However, MISS requires greater radiation dose and longer learning curve. |
NA |
CSA: with Wiltse, CSA decreased by 7.6% vs 35.4% with posterior open surgery Pain at last follow-up: 0.9 vs 1.7 (out of 10) |
Wiltse approach causes less muscle damage, and less atrophy and fatty infiltration in the multifidus; reduces postoperative low back pain for up to 1 year. |
MISS: 9.4 d Open: 20.7 d |
VAS, ODI: no difference Postoperative complications and neurological recovery: no difference |
MISS has a smaller incision, less intraoperative blood loss, and shorter recovery time, and is safer. |
MISS: 6.6 d Open: 8.5d |
Radiographic parameters improved in both groups Relief of canal encroachment: MISS (4.0% ± 3.8% vs open 9.1% ± 6.0%) VAS pain and neurological recovery: no difference |
MISS is superior at reducing iatrogenic trauma while achieving similar or even better clinical and radiological outcomes. |
NA |
Misplaced pedicle screws or neurological deficits and need for revision surgery: no difference |
Percutaneous surgery using dorsal stabilization permits positioning of pedicle screws as safely as with open surgery during acute care after spinal trauma. |
MISS: 6.0 d Open: 9.5 d |
Fluoroscopic dose: MISS 34 mSv vs open 4 mSv Hemoglobin drop: MISS 12 g/L vs open 21 g/L Kyphoticangulation correction: no difference, but with loss of position greater with open surgery (28% vs 96%) |
Combined polyaxial-monoaxial screw MISS constructs demonstrate favorable radiological and clinical outcomes treating unstable thoracolumbar and lumbar fractures among patients who do not require additional decompressive surgery. |
No difference |
Need for transfusion: MISS 37% less than open surgery Mobilization/complications/mortality: no difference |
MISS can be used to treat unstable thoracolumbar fractures. |