Tubular Hybrid Surgery: A Varying Paradigm
10.21182/jmisst.2025.02054
- Author:
Arvind Gopalrao KULKARNI
1
;
Ragha Midhun PONNAM
;
Abhijeet WADI
;
Meet Kirit SHAH
;
Gopinath JAYABALAN
;
Deepika JAIN
Author Information
1. Department of Orthopaedics, Mumbai Spine Scoliosis and Disc Replacement Centre, Bombay Hospital & Medical Research Centre, Mumbai, India
- Publication Type:Technical Note
- From:
Journal of Minimally Invasive Spine Surgery and Technique
2025;10(1):69-75
- CountryRepublic of Korea
- Language:English
-
Abstract:
In general, the scientific literature recommends extended fusion of the lumbar decompressed level adjacent to a fused level. Tubular decompression of lumbar canal stenosis defies this concept as it minimizes collateral damage. This study explores the concept of tubular hybrid surgery, where tubular decompression is performed adjacent to a fused level. A descriptive study of the technique is presented with a few case examples. The concept of tubular hybrid surgery wherein tubular minimally invasive spinal fusion is performed at one level and microscopic tubular decompression is executed at the adjacent levels is discussed, along with clinical and biomechanical evidence and case examples. The tubular hybrid method represents a significant advancement in minimally invasive spine surgery. Larger long-term, multicentric, prospective studies are necessary to establish the benefits of the procedure.
