Page 33 - HA Convention 2016 [Abstracts (Day 1)]
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Masterclasses HOSPITAL AUTHORITY CONVENTION 2016
M5.1 Minimally Invasive Spine Surgery 14:30 Room 221
Minimally Invasive Spine Surgery: History and Development
Sieh KM
Department of Orthopaedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong
The trend of using smaller surgical wound is seen in various surgical specialties. The appreciation of minimally invasive spine
technology has rapidly evolved over the past two decades. It was started in the mid 20th century with a few surgeons and a
few technologies. But it has now developed into a large field of progressive spine surgery.
The development of minimally invasive spine (MIS) surgery has been largely influenced by the advancement in laser, optical
advance in endoscopy and image guidance technology. In this session, the development and historical perspective of MIS
technology in spine surgery will be presented.
Tuesday, 3 May
M5.2 Minimally Invasive Spine Surgery 14:30 Room 221
Minimally Invasive Spine Surgery: Indications and Applications
Wong RNM
Department of Orthopaedics and Traumatology, United Christian Hospital, Hong Kong
Minimally invasive spine surgery (MISS) is rapidly developing in recent years. The basic principles are decreasing iatrogenic
muscle and soft tissue injury, limiting the amount of tissue resection to minimise post-operative spinal instability, utilising
known neurovascular planes and decreasing the size of the surgical corridor to coincide with the target surgical site. The
original aim of the operation and safety should not be compromised when using MISS. The indications of MISS are evolving
and MISS has been applied in all major aspects of spine surgery. Usage of tubular retractors, application of endoscopes and
percutaneous insertion of pedicle screws insertion are common MISS techniques. Common applications for MISS include
posterior decompression for prolapse disc and spinal stenosis, spinal fusion for degenerative conditions and deformities,
stabilisation in spinal trauma, pain control in osteoporotic vertebral compression fractures and management of spinal
tumours.
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