The role of minimally invasive techniques in the treatment of adult spinal deformity

Neurosurg Clin N Am. 2013 Apr;24(2):231-48. doi: 10.1016/ Epub 2013 Feb 15.


Many surgeons use minimally invasive surgery (MIS) approaches for treatment of patients with adult degenerative spinal deformity. The feasibility and efficacy of these techniques in the treatment of certain subtypes of degenerative deformities have been reported. In this article, several MIS techniques are discussed and an established 6-level treatment algorithm (MiSLAT) is presented, to help guide spinal surgeons in the use of MIS techniques for the treatment of patients with degenerative deformity. MIS treatment of MiSLAT level I to IV deformities is recommended, whereas level V and VI deformities require more traditional open approaches for adequate deformity correction.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Bone Screws
  • Humans
  • Intervertebral Disc Degeneration / surgery
  • Minimally Invasive Surgical Procedures / methods*
  • Orthopedic Fixation Devices
  • Physical Examination
  • Radiography
  • Scoliosis / surgery
  • Spinal Diseases / diagnostic imaging
  • Spinal Diseases / rehabilitation
  • Spinal Diseases / surgery*