The Prevalence of the Use of MIS Techniques in the Treatment of Adult Spinal Deformity (ASD) Amongst Members of the Scoliosis Research Society (SRS) in 2016
The Prevalence of the Use of MIS Techniques in the Treatment of Adult Spinal Deformity (ASD) Amongst Members of the Scoliosis Research Society (SRS) in 2016
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DOI：
10.1016/j.jspd.2018.08.014
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发表时间：
2019-03-01
期刊：
影响因子：
1.6
通讯作者：
Yang, Shu-Hua
中科院分区：
文献类型：
--
作者：
Anand, Neel;Agrawal, Aniruddh;Yang, Shu-Hua
研究设计：对脊柱侧凸研究会成员进行电子调查。目的了解成人脊柱畸形的微创手术治疗情况。关于微创脊柱手术的实践模式、流行程度和首选微创技术在成人脊柱畸形治疗中的可用数据缺乏。方法对2016年脊柱侧凸研究会会员进行微创脊柱外科技术个人使用情况的电子问卷调查，问卷共9个问题。决定因素包括患者群体条件的复杂性，外科医生实践中微创技术的使用，特定MIS技术的使用，手术中选择的策略，手术分期的采用以及手术分期之间的时间。结果共有357名外科医生回应，回复率为61.3%，其中154名（43.1%）外科医生表示他们将MIS作为成人脊柱畸形手术治疗的一部分。然而，在这154名受访者中，67名（43.5%）表示他们在残疾实践中使用MIS的比例在1%到20%之间。只有11人（7.2%）说他们81%到100%的时间使用管理信息系统。外科医生选择的MIS入路最多的是MIS外侧腰椎椎体间融合术109例（70.59%）和MIS经皮螺钉91例（58.8%）。结论：在SRS成员中，这些技术的采用率低可能是由于没有足够的数据支持MIS技术更好的错误看法。这一点以及医生需要熟练掌握不同的信息管理技术这一事实，可能是在ASD治疗中采用信息管理技术的真正障碍。证据等级：四级。
Study DesignElectronic survey administered to Scoliosis Research Society members.ObjectiveTo determine the prevalence of minimally invasive surgery (MIS) techniques for the treatment of adult spinal deformity.Summary of Background DataThere is a paucity of data available on the practice pattern, prevalence of minimally invasive spine surgery, and the preferred minimally invasive techniques in the treatment of adult spine deformity.MethodsAn electronic nine-question survey regarding individual usage pattern of minimally invasive spine surgery techniques was administered in 2016 to the members of the Scoliosis Research Society. Determinants included complexity in condition of patient population, prevalence of use of minimally invasive techniques in the surgeon's practice, prevalence of use of a particular MIS technique, strategy elected during surgery, adoption of staging of procedures and timing between staging of procedures.ResultsA total of 357 surgeons responded (61.3% response rate), and 154 (43.1%) of the respondents said that they use MIS as a part of their surgical treatment of adult spinal deformity. However, of these 154 respondents, 67 (43.5%) said that their MIS usage in deformity practice was between 1% and 20%. Only 11 (7.2%) said that they used MIS 81% to 100% of the time. The top MIS approaches that surgeons chose were MIS lateral lumbar interbody fusion 109 (70.59%) and MIS percutaneous screws 91 (58.8%).ConclusionsThe low rate of adoption of these techniques among the SRS members may be due to the false perception that there is not enough data to support that MIS techniques are better. This and the fact that a practitioner needs to be facile at different MIS techniques may be the true impediment to the adoption of MIS techniques in the treatment of ASD.Level of EvidenceLevel IV.