How and When to Incorporate Minimally Invasive Surgery for Treatment of Deformity: Decision-Making

  • Andrew C. Vivas
  • Jason M. Paluzzi
  • Juan S. Uribe


Minimally invasive surgery (MIS) is an accepted alternative for the surgical treatment of several spinal disorders. Some specialty centers have begun to explore the use of MIS techniques to treat advanced spinal deformity. Here, we discuss critical tenants of patient selection and management schema for the treatment of deformity using MIS techniques. The use of these techniques to treat pronounced cervical/thoracic deformity, patients with a prior fusion mass, or severe sagittal imbalance necessitating Schwab 5 osteotomy or higher is currently restricted, and not recommended to surgeons without extensive experience in MIS techniques.


Minimally invasive surgery MIS Spine surgery Decision-making Outcomes Deformity 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Andrew C. Vivas
    • 1
  • Jason M. Paluzzi
    • 1
  • Juan S. Uribe
    • 2
  1. 1.Department of NeurosurgeryUniversity of South FloridaTampaUSA
  2. 2.Department of Neurological SurgeryBarrow Neurological InstitutePhoenixUSA

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