Complications in minimally invasive surgery for lumber degenerative scoliosis / 中华骨科杂志

ABSTRACT

With the aging of the population, the incidence of degenerative lumbar scoliosis has gradually increased, and some of them require surgical treatment. Traditional open surgery is a complex and challenging surgical procedure with a high risk of complications. Minimally invasive surgery is widely used in the treatment of degenerative lumbar scoliosis because of its small trauma, light tissue damage, less bleeding, postoperative pain relief and rapid recovery. Minimally invasive surgery for lumbar degenerative scoliosis mainly includes extreme lateral interbody fusion, direct lateral interbody fusion, oblique lateral interbody fusion, anterior lumbar interbody fusion and minimally invasive transforaminal lumbar interbody fusion. However, minimally invasive surgery also has its own surgical approach-related complications such as large vessel injury, lumbar plexus injury and so on. This article summarizes the literature on minimally invasive surgery for degenerative lumbar scoliosis in the past decade, and summarizes the surgical complications in the literature, in order to have a more comprehensive and in-depth understanding of minimally invasive surgery for degenerative lumbar scoliosis. It is concluded that minimally invasive surgery can reduce the risk of complications in the treatment of degenerative lumbar scoliosis in terms of approach-related, internal plant and systemic complications.