RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATURE

ABSTRACT Degenerative spine diseases are a common cause of low back pain and neurological dysfunction, often associated with aging, and may require surgical interventions when conservative treatment is ineffective. This study aims to evaluate the risks and benefits of minimally invasive spinal fusio...

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Main Authors: Pedro Henrique Rodrigues, Italo Nunes Vieira, Wander Arraes Gonçalves, Max Belem Fernandes
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2025-08-01
Series:Acta Ortopédica Brasileira
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000303300&lng=en&tlng=en
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author Pedro Henrique Rodrigues
Italo Nunes Vieira
Wander Arraes Gonçalves
Max Belem Fernandes
author_facet Pedro Henrique Rodrigues
Italo Nunes Vieira
Wander Arraes Gonçalves
Max Belem Fernandes
author_sort Pedro Henrique Rodrigues
collection DOAJ
description ABSTRACT Degenerative spine diseases are a common cause of low back pain and neurological dysfunction, often associated with aging, and may require surgical interventions when conservative treatment is ineffective. This study aims to evaluate the risks and benefits of minimally invasive spinal fusion surgery (MIS) compared to open surgery (OS) for the treatment of these conditions. Through a systematic review, 83 studies were analyzed, of which 10 were included in the meta-analysis. The methodology followed PRISMA guidelines, with searches in PubMed, Scopus, Web of Science, Medline Ovid, and SciELO databases. The results indicate that MIS offers several advantages over OS, including lower intraoperative blood loss, reduced postoperative pain, shorter hospital stay, and lower incidence of complications, without compromising bone fusion rates. These findings suggest that MIS is an effective and potentially superior alternative to OS, with significant benefits for patient recovery. However, specialized training is required to ensure the safety and efficacy of the procedure. Level of Evidence l; Systematic review.
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institution Kabale University
issn 1413-7852
language English
publishDate 2025-08-01
publisher Sociedade Brasileira de Ortopedia e Traumatologia
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series Acta Ortopédica Brasileira
spelling doaj-art-b62840e79350414297e1ab4e0280cd032025-08-20T03:47:13ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522025-08-0133310.1590/1413-785220253303e289815RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATUREPedro Henrique Rodrigueshttps://orcid.org/0009-0003-4235-8166Italo Nunes Vieirahttps://orcid.org/0009-0006-2279-1837Wander Arraes Gonçalveshttps://orcid.org/0009-0002-9156-4372Max Belem Fernandeshttps://orcid.org/0009-0009-7120-6608ABSTRACT Degenerative spine diseases are a common cause of low back pain and neurological dysfunction, often associated with aging, and may require surgical interventions when conservative treatment is ineffective. This study aims to evaluate the risks and benefits of minimally invasive spinal fusion surgery (MIS) compared to open surgery (OS) for the treatment of these conditions. Through a systematic review, 83 studies were analyzed, of which 10 were included in the meta-analysis. The methodology followed PRISMA guidelines, with searches in PubMed, Scopus, Web of Science, Medline Ovid, and SciELO databases. The results indicate that MIS offers several advantages over OS, including lower intraoperative blood loss, reduced postoperative pain, shorter hospital stay, and lower incidence of complications, without compromising bone fusion rates. These findings suggest that MIS is an effective and potentially superior alternative to OS, with significant benefits for patient recovery. However, specialized training is required to ensure the safety and efficacy of the procedure. Level of Evidence l; Systematic review.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000303300&lng=en&tlng=enDegenerative DiseasesSpinal FusionMinimally Invasive SurgerySystematic ReviewMeta-Analysis
spellingShingle Pedro Henrique Rodrigues
Italo Nunes Vieira
Wander Arraes Gonçalves
Max Belem Fernandes
RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATURE
Acta Ortopédica Brasileira
Degenerative Diseases
Spinal Fusion
Minimally Invasive Surgery
Systematic Review
Meta-Analysis
title RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATURE
title_full RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATURE
title_fullStr RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATURE
title_full_unstemmed RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATURE
title_short RISKS AND BENEFITS OF SPINAL FUSION SURGERY FOR DEGENERATIVE SPINE DISEASES: SYSTEMATIC REVIEW OF LITERATURE
title_sort risks and benefits of spinal fusion surgery for degenerative spine diseases systematic review of literature
topic Degenerative Diseases
Spinal Fusion
Minimally Invasive Surgery
Systematic Review
Meta-Analysis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000303300&lng=en&tlng=en
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