ナカニシ　カズオ   Kazuo Nakanishi   中西　一夫    所属   川崎医科大学  医学部 臨床医学　脊椎・関節整形外科学    職種   准教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Minimally Invasive Spinal Treatment (MIST)-A New Concept in the Treatment of Spinal Diseases: A Narrative Review.
掲載誌名	正式名：Medicina (Kaunas, Lithuania) 略　 称：Medicina (Kaunas) ISSNコード：16489144/1010660X
掲載区分	国外
巻・号・頁	58(8),pp.1123
著者・共著者	Ishii Ken, Watanabe Goichi, Tomita Takashi, et.al.
発行年月	2022/08
概要	In the past two decades, minimally invasive spine surgery (MISS) techniques have been developed for spinal surgery. Historically, minimizing invasiveness in decompression surgery was initially reported as a MISS technique. In recent years, MISS techniques have also been applied for spinal stabilization techniques, which were defined as minimally invasive spine stabilization (MISt), including percutaneous pedicle screws (PPS) fixation, lateral lumbar interbody fusion, balloon kyphoplasty, percutaneous vertebroplasty, cortical bone trajectory, and cervical total disc replacement. These MISS techniques typically provide many advantages such as preservation of paraspinal musculature, less blood loss, a shorter operative time, less postoperative pain, and a lower infection rate as well as being more cost-effective compared to traditional open techniques. However, even MISS techniques are associated with several limitations including technical difficulty, training opportunities, surgical cost, equipment cost, and radiation exposure. These downsides of surgical treatments make conservative treatments more feasible option. In the future, medicine must become "minimally invasive" in the broadest sense-for all patients, conventional surgeries, medical personnel, hospital management, nursing care, and the medical economy. As a new framework for the treatment of spinal diseases, the concept of minimally invasive spinal treatment (MIST) has been proposed.
DOI	10.3390/medicina58081123
PMID	36013590