Simultaneous surgical interventions in spinal neurosurgery: a systematic review

Purpose To conduct a systematic review of literature on the results of simultaneous surgical interventions (SSI) in spinal surgery to determine their value in the treatment of degenerative diseases, traumatic injuries, destructive changes due to tuberculous spondylitis, correction of congenital anomalies and tumor lesions Material and methods A systematic search of literature in English and Russian published between January 1960 and December 2018 was conducted using the Medline, EMBASE, Cochrane Library and eLibrary databases. Results The systematic review included 20 studies on the use of simultaneous technology in the surgical treatment of degenerative diseases and injuries of the spine, tuberculous spondylitis, as well as rare combined pathologies. It has been established that SSIs used in combination with high-tech tools and minimally invasive surgical techniques are able to eliminate several diseases simultaneously, to preserve low invasiveness of the approach, to activate patients early and to reduce the number of complications. Conclusion There is a need to develop specialized criteria and an objective classification of SSI, as well as to study the effectiveness of various options for such interventions based on the parameters of the duration of surgery, volume of blood loss, duration of intraoperative exposure to radiation, duration of inpatient treatment and economic costs.