“Crushing a muscle, as in the use of non-minimally invasive retractors, is very bad. It causes muscle necrosis, fibrosis, fiber size atrophy, loss of power and systemic inflammation,” said Dr. Kim.
While performing MIS is known to preserve the multifidus, another compelling reason to perform MIS transforaminal lumbar interbody fusion is that the deep infection rate is significantly lower than open surgery by nearly 500 percent, according to data from the Scoliosis Research Society, Dr. Kim said.
While this is an example of how to successfully track outcomes in support of MIS surgery, it is not always this easy. “Spine surgeons are fiercely independent, but we have to work together,” said Dr. Kim. “We have a lot of data on very few patients – a limited patient population. We need more data. We need to work together through data registries.”
“Everyone operates a center of excellence: Technology, training and great practice management those things create a center of excellence. But then you have to measure outcomes and use those outcomes to improve, to truly be excellent,” he added.
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
