Month: February 2020

Publication: Minimal invasive surgical algorithm for revision lumbar spinal surgery

Dr Lee recently published on minimal invasive surgical algorithm for revision lumbar spinal surgery in the Journal of Spine Surgery to guide spinal surgeons select the most appropriate minimally invasive spinal surgical technique when undertaking revision spinal surgery.

Compared to traditional open spinal surgery, minimally invasive spinal surgery involves smaller incision, reduced muscle and soft tissue dissection. The aim of minimally invasive spinal surgery is to achieve outcomes similar to open techniques with lesser trauma and collateral injury to surround tissues. With specialised retractor and instrumentation system, spinal conditions can now be addressed through smaller working channel. Using intraoperative navigation technologies, spinal implants can also be inserted more accurately and through small percutaneous stab incisions in the skin.

For further information, visit: http://jss.amegroups.com/article/view/4715

Publication: The incidence of new onset sacroiliac joint pain following lumbar fusion

Dr Lee recently published on the incidence of new onset sacroiliac joint pain following lumbar fusion in the Journal of Spine Surgery.

Sacroiliac joint dysfunction can be a great mimicker of many spinal conditions. The sacroiliac joint can be a new source of pain following spinal fusion, thought to be due to abnormal mechanical stress on the sacroiliac joint following spinal fusion. Of those patients who suffered from sacroiliac joint pain in the study cohort, 80% were successfully managed with focused rehabilitation involving core and pelvic stabilization, anti-inflammatory medication, pain management referral for counseling and radiofrequency denervation. Only 20% failed non-operative treatment requiring further sacroiliac joint fusion. It is important for clinicians to be aware of this potential condition and treat accordingly. Dr Lee performs minimally invasive sacroiliac joint fusion using intraoperative navigation for patients who have exhausted conservative treatment options.

For further information, visit: http://jss.amegroups.com/article/view/4707