MISSABCON 2024-Marvels of Spine Surgery: Technology and Techniques
Article information
Minimally invasive spine surgery has grown by leaps and bounds over the past 2 decades and is now increasingly recognised as the standard of care. While the evolution of surgical techniques is essential, the integration of emerging technology will further transform spine surgery. The synergy between refined operative techniques and cutting-edge technology promises enhanced patient outcomes, shorter recovery times, and increased surgical precision.
Recent technological advancements have enabled surgeons to address even complex spinal pathologies using minimally invasive approaches. This special issue features original research articles and technical notes that highlight the future direction of minimally invasive spine surgery in India. It also includes review articles on current minimally invasive techniques and examines training paradigms for surgeons to master these methods.
Balamurali et al. [1] offer an excellent overview of the present landscape of training in minimally invasive spine surgery, discussing the potential of artificial intelligence, virtual and augmented reality, and other innovative tools to ease the learning curve while minimising risks to patients. Sudhir et al. [2] present their initial experience with an augmented reality-based spine surgical training system that utilises accessible hardware and software. This approach holds promise for revolutionising spine surgical training, particularly in resource-limited environments.
The manuscript by Mahesha and Rao [3] provides an insightful technical note on the application of monopolar electrocautery in full endoscopic spine surgery. This cost-saving innovation could potentially reduce operating expenses and expand access to endoscopic spine procedures, especially in resource-constrained settings.
Haribabu et al. [4] describe a novel method for predicting the medial angulation of percutaneous pedicle screws using trigonometric principles. This can enhance the safety of screw placement under fluoroscopic guidance, particularly where navigation or robotic assistance is unavailable. Juva et al. [5] assess the effectiveness of percutaneous rupture of facet cysts in patients with radiculopathy.
Chodavadiya et al. [6] compare outcomes in geriatric patients undergoing spine surgery under general versus regional anaesthesia, emphasising the benefits of enhanced recovery after surgery (ERAS) protocols.
As we turn these pages, filled with innovation, insight, and surgical excellence, it becomes evident that minimally invasive spine surgery is not simply a technique—it is a philosophy grounded in precision, compassion, and continual advancement. This edition stands as a testament to the remarkable achievements of our community and serves as a call to action for ongoing collaboration, research, and refinement. We hope the knowledge shared in these articles will inspire readers to challenge boundaries, question conventions, and continue shaping the future of spine care—one less invasive step at a time.
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Conflicts of interest
AK and AJ, members of the Editorial Board of Journal of Minimally Invasive Spine Surgery & Technique, are the authors of this article. However, they played no role whatsoever in the editorial evaluation of this article or the decision to publish it. Except for that, no potential conflict of interest relevant to this article was reported.
Acknowledgments
This special issue is compiled from leading participants and best presentations of MISSABCON 2024, on the days of Oct 16-19 in Gandhinagar, India. It was a hugely successful event with the participation of 473 clinicians and scientists under the annual program banner of MISSAB (missab.org). Dr Abhijith Anil, as the issue coordinator has contributed immensely to perfection and timely release of the special issue.