title: [Minimal invasive surgery: historical review, current status and perspective].
abstract: Lumbar spine surgery has been performed for decades using the so-called «dorsal open approach». Although established as a safe and effective procedure, it is associated to some extent with extensive collateral damage in the area of the operative field. For over ten years, minimal-invasive spine surgery (MISS) techniques, which are considerably less destructive and less traumatic, have earned their place as valuable and at times superior to the established dorsal open approach. Advantages include smaller skin incisions, less soft tissue and muscle damage, less peri-operative blood loss, lower infection rates, earlier postoperative return to function or work as well as shorter hospital stays. All these advantages, however, have to be carefully balanced against the potential disadvantages of MISS techniques, notably reduced orientation, steep learning curves, and increased radiation exposure from repeated imaging for guidance. This article gives an overview about the evolution and current role of MISS in lumbar spine surgery.
authors.affiliation: Service de Neurochirurgie, Hôpitaux Universitaires de Genève et Faculté de Médecine, Université de Genève, Genève.
authors.forename: Oliver P
authors.initials: OP
authors.lastname: Gautschi
authors.affiliation: Klinik für Neurochirurgie, Kantonsspital St. Gallen.
authors.forename: Martin N
authors.initials: MN
authors.lastname: Stienen
authors.affiliation: Service de Neurochirurgie, Hôpitaux Universitaires de Genève et Faculté de Médecine, Université de Genève, Genève.
authors.forename: Marco V
authors.initials: MV
authors.lastname: Corniola
authors.affiliation: Service de Neurochirurgie, Hôpitaux Universitaires de Genève et Faculté de Médecine, Université de Genève, Genève.
authors.forename: Karl
authors.initials: K
authors.lastname: Schaller
mesh_terms: D005544:Forecasting; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000175:diagnosis / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery*; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000639:trends*; D038361:Neuronavigation / Q000295:instrumentation / Q000379:methods; D011182:Postoperative Care / Q000379:methods / Q000639:trends; D013122:Spinal Diseases / Q000175:diagnosis / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods / Q000639:trends; D013130:Spinal Stenosis / Q000175:diagnosis / Q000601:surgery; D013523:Surgical Equipment
keywords: MISS; PLIF; TLIF; chirurgie minimal-invasive; décompression sélective; minimal invasive spine surgery; minimal-invasive spinale Chirurgie; selective decompression; selektive Dekompression