Maximizing the potential of minimally invasive spine surgery in complex spinal disorders

Patrick C. Hsieh*, Tyler Robert Koski, Daniel M. Sciubba, Dave J. Moller, Brian A. O'Shaughnessy, Khan W. Li, Ziya L. Gokaslan, Stephen L. Ondra, Richard G. Fessler, John C. Liu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

55 Scopus citations


Minimally invasive surgery (MIS) in the spine was primarily developed to reduce approach-related morbidity and to improve clinical outcomes compared with those following conventional open spine surgery. Over the past several years, minimally invasive spinal procedures have gained recognition and their utilization has increased. In particular, MIS is now routinely used in the treatment of degenerative spine disorders and has been shown to be as effective as conventional open spine surgeries. Although the procedures are not yet widely recognized in the context of complex spine surgery, the true potential in minimizing approach-related morbidity is far greater in the treatment of complex spinal diseases such as spinal trauma, spinal deformities, and spinal oncology. Conventional open spine surgeries for complex spinal disorders are often associated with significant soft tissue disruption, blood loss, prolonged recovery time, and postsurgical pain. In this article the authors review numerous cases of complex spine disorders managed with MIS techniques and discuss the current and future implications of these approaches for complex spinal pathologies.

Original languageEnglish (US)
Article numberE19
JournalNeurosurgical focus
Issue number2
StatePublished - Nov 28 2008


  • Complex spine disorder
  • Deformity
  • Minimally invasive spine surgery
  • Oncology
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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