MIS TLIF is commonly known as a minimally invasive spinal stabilization surgery to eliminate chronic back pain and leg pain often caused by disc degeneration, spinal stenosis, and spinal instability. 

Spinal stabilization can be done through an “open” approach, where a relatively larger incision is made in the middle of your back, or through a minimally-invasive surgical (MIS) approach. 

With the MIS technique, two smaller incisions are made on each side of the back, and individual instruments called “retractors” are used to provide access to the spine with minimal disruption of the muscle tissue. 

  • The need for MIS-TLIF

    In general, the main aim of Minimally Invasive Spine (MIS) TLIF surgery is to provide stabilization to the vertebral bones and spinal joints and remove the pressure on the spinal nerves. This is commonly done to help conditions such as herniated discs, or spinal instability. As compared to open spine surgery, Minimally Invasive Spine Surgery is safer, and requires less recovery time.  Because of the reduced trauma and pressure to the muscles and soft tissues (compared to open procedures), the key benefits are:

    • Better and enhanced cosmetic results from smaller skin incisions (sometimes as low as several millimeters)
    • Reduced blood loss from the surgery
    • Less risk of muscle damage, since no cutting of the muscle, is required
    • Reduced risk of postoperative pain and infection 
    • Speedy recovery from the surgery 
    • Less rehabilitation required
    • Diminished reliance on painkillers after the surgery
    In addition to these, some MIS-TLIF surgeries are performed as outpatient procedures and utilize only local anesthesia. So in that way, there is reduced risk for an adverse reaction to general anesthesia. As with any surgical procedure or operation, no matter how minimal or small, there are some risks associated that include: 
    • An adverse reaction to the anesthesia
    • Unexpected blood loss during the surgery
    • Chances of localized infections, no matter how small the incision area

  • When to opt for Minimally Invasive Spine Surgery

    MIS-TLIF is generally recommended when several nonsurgical treatments such as physical therapy and medications have not helped in providing relief from the painful symptoms caused by the back problem. Besides, surgery is only considered to be an option if the doctor can pinpoint the exact source of your pain, such as the appearance of a herniated disk or spinal stenosis. There are many numerous minimally invasive techniques. The common objective between all of them is that they use relatively smaller incisions and cause less muscle wear and tear. Minimally invasive back surgery can be performed for common conditions like spinal fusion and lumbar decompression. Decompression helps to relieve added pressure on the spinal nerves by getting rid of portions of bone or a herniated disk. Spinal fusion helps to correct problems associated with the small bones of the spine. The general idea is to fuse or combine the painful vertebrae to heal into a single solid bone.

  • Preventive methods after the surgery

    One needs to take care of the following after the surgery:

    •  Wear a special brace for at least 3 months after the surgery while you are sitting, standing, or walking. You will need to take complete rest for eight weeks and walk for at least an hour every day. You will have to avoid sitting for more than 15-20 minutes of continuously post-surgery. 
    • During the period of 6 to 8 weeks, it is highly likely that you can return to work on "light duties" and can drive a motor vehicle only for shorter trips. 
    • It is essential to keep in mind that the amount of time it takes to return to normalcy is different for every patient. However, the discomfort should decrease a little each day. 
    • Increases in energy and activity are a sign that your postoperative recovery is progressing in a good manner. 
    •  Maintaining a positive attitude, a healthy and well-balanced diet, and ensuring plenty of rest are some of the excellent ways to speed up your recovery.

Get Best Minimally Invasive Spine surgery in Udaipur

Shriram Spine Hospital offers Minimally Invasive Spine Surgery in Udaipur and helps the patient get rid of the chronic back pain in the most advanced manner. With state of the art facilities, highly equipped and professional staff Shriram Spine Hospital has helped many patients recover with the help of MIS-TLIF. The minimally invasive back surgery helps when the physical therapy or the medications fails to provide any relief. Shriram Spine Hospital is one of the advanced minimally invasive spine surgery hospitals in North India. 

Frequently Asked Questions

How does MIS-TLIF work?

Using a very smaller incision, often only 1 inch in size, the surgeon uses an C-Arm to locate the area of concern. 

The surgeon then retracts the muscles in this area by cutting them, removing a part of the damaged disc, and inserts small spacer hardware to secure the area and provide better alignment of the spine—this providing stability and relief from the pain.

What are some of the benefits of MIS-TLIF?

Some of the benefits of MIS TLIF include:

  • Smaller incision and smaller resulting scars
  • No surgical cutting of muscle
  • Less blood loss and tissue damage
  • Shorter procedure time
  • Shorter recovery time
  • Briefer hospital stay
  • More stable spine immediately after surgery
  • Better spinal alignment immediately after surgery

What is the recovery time from MIS TLIF?

Patients will generally have to spend 24 hours to four days in the hospital after their MIS TLIF. If you have an office job, you will be back to work within three to six weeks after the procedure. You will have to refrain from lifting heavy objects for a while, as instructed by your surgeon. You will also have to participate in postoperative physical therapy sessions as instructed.

What are some of the risks associated with MIS TLIF?

Every surgical procedure, no matter how minor, carries some inherent risks. These risks include unintentional damage to nearby structures, uncontrolled bleeding, minor infection, and others. However, a TLIF is a relatively safe operation and tends to be associated with fewer complications than traditional open procedures.