There are several latest innovations in the surgical treatment of low back pain. Here are some of them:
Minimally Invasive Spine Surgery (MISS): This surgical technique uses specialized instruments to access the spine through small incisions—the goal of MISS is not just a tiny incision but rather to minimize disruption of normal anatomy.
Lumbar Artificial Disc Replacement (ADR): This surgical procedure involves removing the damaged disc from the spine and replacing it with an artificial disc. ADR offers several benefits over traditional spinal fusion, including better preservation of spine motion, reduced risk of adjacent segment disease, and faster recovery times. Current technology has gained significant support for cervical spine surgery and less for the lumbar spine. Only some patients are good candidates for ADR.
Robotic Spine Surgery: This surgical technique uses robotic technology to assist the surgeon during the procedure. Robots allow for increased precision.
Intraoperative Imaging: This technology allows the surgeon to visualize the spine in real time during the procedure. Intraoperative imaging offers several benefits, including the more accurate placement of spinal implants and improved safety during the procedure.
Biologics. Several biological agents (aka "Biologics") have been developed to improve outcomes. For example, bone morphogenic proteins are commonly used to enhance osteogenesis in patients undergoing lumbar fusion. Ultimately, the goal of new biologics in development is to restore normal disc anatomy and function.
Overall, these latest innovations in the surgical treatment of low back pain offer several benefits over traditional open surgery, including less tissue damage, less postoperative pain, shorter hospital stays, and faster recovery times. Not all patients are suitable for these surgical techniques, and each case must be evaluated individually to determine the best treatment approach.
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