2009 Volume 15 Issue 1 Pages 79-85
An instrument and an implant are developed for minimally invasive spine surgery (MISS), and, as for the operation manual skill, it is devised having many kinds. As for the approach, intermuscle approach and hemi partial laminectomy and bothside decompression became popular. We performed MIS-PLIF in 319 cases for LSCS from 2003. The use system is SEXTANT 143 cases, PathFinder 113 cases, XIAprecision 11 cases, MANTIS 6 cases, others 45 cases. The operation method does a small open wound by tube retractor and decompress spinal canal and one intervertebra cage and fixation by both sides percutaneous pedicle screws and rods. An average amount of bleeding is 119g for 107 minutes for one level. I place the operation manual skill of MISS as a new spine surgery skill not extension of the conventional surgery. A system for MISS develops, and it is used for a multi level case in future. Therefore it is important that we know the structure and the character for uses well and apply it to one's operation.