ArticleGlobal spine journal2020
Minimally Invasive Spine Surgery: The Learning Curve of a Single Surgeon.
Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Abd-El-Barr's Mountain-A Radiographic Landmark for Consistent and Successful Docking in Minimally Invasive Lumbar Surgery: A Cadaveric Study.International journal of spine surgery · 2026Article
- The Learning Curve of Endoscopic Lumbar Interbody Fusion: A Systematic Review.Journal of clinical medicine · 2025Review
- Prone Position for Preoperative Planning in Lumbar Endoscopic and Minimally Invasive Fusion Procedures: Insights From a Magnetic Resonance Imaging Study.International journal of spine surgery · 2025Article
- Learning Curve in the Extraction of Impacted Lower Third Molars: A Prospective Cohort Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2025Article
- Integrating Augmented Reality in Spine Surgery: Redefining Precision with New Technologies.Brain sciences · 2024Review
- Adolescent Idiopathic Scoliosis: Is the Feasible Option of Minimally Invasive Surgery using Posterior Approach?Asian spine journal · 2024Article
- Extended-wavelength diffuse reflectance spectroscopy dataset of animal tissues for bone-related biomedical applications.Scientific data · 2024Article
- Perspective: How can risks to patients be limited during spine surgeons' learning curves?Surgical neurology international · 2024Review
- Ten-step minimally invasive slalom unilateral laminotomy for bilateral decompression (sULBD) with navigation.BMC musculoskeletal disorders · 2023Article
- Use of a High-Fidelity Training Simulator for Minimally Invasive Lumbar Decompression Increases Working Knowledge and Technical Skills Among Orthopedic and Neurosurgical Trainees.Global spine journal · 2023Article
- Full endoscopic spine surgery.Journal of orthopaedics · 2023Article
- Breast Reconstruction with DIEP Flap: The Learning Curve at a Breast Reconstruction Center and a Single-Surgeon Study.Journal of clinical medicine · 2023Article
- Drivers of Cost in Primary Single-Level Lumbar Fusion Surgery.Global spine journal · 2023Article
- Full-endoscopic versus microscopic unilateral laminotomy for bilateral decompression of lumbar spinal stenosis at L4-L5: comparative study.International orthopaedics · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective cohort study.
objectivesThe learning curve associated with the implementation of minimally invasive spinal surgery (MIS) has been the center of attention in numerous publications. So far, these studies referred to a single MIS procedure. In our view, minimally invasive surgical skills are acquired simultaneously through a variety of procedures that share common features. The aim of this study was to analyze the skills progression of a single surgeon implementing diverse minimally invasive techniques.
methodsWe retrospectively collected all patients who underwent spinal surgery for thoracic or lumbar pathology by a single surgeon between 2012 and 2015 at a single institute. Both minimally invasive as well as open surgical techniques were analyzed; these groups were compared on the basis of surgical indications and outcomes. Skills progression analysis in reference to minimally invasive technique was performed.
resultsA total of 230 patients met the inclusion criteria for this study. MIS group included higher percentage of lumbar discectomy and the open-surgery group included higher percentage of tumor resection surgery. Learning curve evaluation demonstrated increased surgical complexity, evaluated by number of levels treated, over the 4-year period, which corresponded with decreased complication rates. DISCUSSION: A gradual increase in surgical complexity over 4 years, together with careful patient selection, enables the surgeon to maintain the rate of complication within acceptable limits. The main challenge facing the MIS community is constructing an education program for MIS surgeons in order to reduce the learning curve-induced complications.
conclusionAdvancement of educational aids for MIS surgical skill improvement, including spine models, virtual and augmented reality aids and surgical simulators may reduce the learning curve of spine surgeons.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.