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Review
. 2019 Jun;5(Suppl 1):S108-S114.
doi: 10.21037/jss.2019.04.17.

Trends in outpatient minimally invasive spine surgery

Gregory W Basil  1 , Michael Y Wang  1
Affiliations
Review

Trends in outpatient minimally invasive spine surgery

Gregory W Basil et al. J Spine Surg. 2019 Jun.

Abstract

There has been a definite upward trend in outpatient minimally invasive spine (MIS) surgery over the past decade. This increasing prevalence has been driven by several factors including advanced MIS techniques, improvements in perioperative pain management, and economic necessity. There is now a myriad of different spine surgery procedures which can be effectively employed in the outpatient setting, and the concept of awake, endoscopic fusion surgery represents a notable advance in the field. Additionally, the use of multi-modality analgesic agents has shown significant promise in this arena and has become increasingly important in states where legislation affecting narcotic prescriptions have been enacted. Finally, with an aging population, the need for outpatient spine surgery has become imperative from an economic standpoint.

Keywords: Enhanced Recovery After Surgery (ERAS®); Outpatient spine surgery; endoscopic spine surgery; minimally invasive spine (MIS) surgery.

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Conflict of interest statement

Conflicts of Interest: MY Wang serves as a consultant to Depuy-Synthes Spine, Aesculap Spine, JoiMax, and K2M; receives royalties from Children’s Hospital of Los Angeles, Depuy-Synthes Spine, Springer Publishing, and Quality Medical Publishing; holds stock in Innovative Surgical Devices and Spinicity; and receives grants from the Department of Defense. GW Basil has no conflicts of interest to declare.

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