PT  - JOURNAL ARTICLE
AU  - Charla R. Fischer
AU  - Bryan Beaubrun
AU  - Jordan Manning
AU  - Sheeraz Qureshi
AU  - Juan Uribe
TI  - Evidence Based Medicine Review of Posterior Thoracolumbar Minimally Invasive Technology
AID  - 10.14444/5085
DP  - 2018 Dec 01
TA  - International Journal of Spine Surgery
PG  - 5085
4099  - https://www.ijssurgery.com/content/early/2018/12/11/5085.short
4100  - https://www.ijssurgery.com/content/early/2018/12/11/5085.full
AB  - Background Evaluate the current evidence in meta-analyses on posterior thoracolumbar minimally invasive surgery techniques and outcomes for degenerative conditions.Methods A systematic review of the literature from 1950 to 2015.Results The review of the literature yielded 34 meta-analysis studies evaluating posterior thoracolumbar minimallyinvasive techniques and outcomes for degenerative conditions. There were 11 studies included which investigated minimally invasive surgery (MIS) versus open posterior lumbar decompressions. There were 14 studies included which investigated MIS versus open posterior lumbar interbody fusions. Finally, there were 9 studies focused on navigation techniques and radiation safety within MIS procedures. Conclusions There are 34 meta-analysis studies evaluating minimally invasive to open thoracolumbar surgery for degenerative disease. The studies show a trend toward decreased estimated blood loss, decreased length of stay, decreased complications, similar fusion rates, improved accuracy, and decreased radiation when minimally invasive techniques are used.