J Minim Invasive Spine Surg Tech.  2025 Apr;10(1):69-75. 10.21182/jmisst.2025.02054.

Tubular Hybrid Surgery: A Varying Paradigm

• Kulkarni AG
• Ponnam RM
• Wadi A
• Shah MK
• Jayabalan G
• Jain D

• KMID: 2567498
• DOI: http://doi.org/10.21182/jmisst.2025.02054

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.

Keyword

Lumbar canal stenosis; Tubular surgery; Decompression; Hybrid surgery