Minimally invasive spine surgery is defined as an endoscopic procedure that generally uses high-specialized instruments and video cameras that are gently passed through small incisions (less than 2 cm) in the chest, back, or abdomen to access the spine and perform the needed surgery.
Objective of MISS
In general, the primary aim of minimally invasive spine (MIS) surgery is to provide stabilization to the spinal joints and vertebral bones and/or ease the pressure on the spinal nerves. It is usually a result of conditions such as bone spurs, spinal instability, spinal tumors, scoliosis, and herniated discs. In contrast to the open spine surgery, minimally invasive surgical approaches are safer, faster, and need less recovery time. Since the trauma to the muscles and soft tissues is reduced, the potential benefits are:
- Reduced blood loss from the procedure
- Less risk of muscle damage, since less or no cutting of the muscle, is required
- Enhanced cosmetic results from smaller skin incisions (sometimes as low as several millimeters)
- Less risk of infection and postoperative pain
- Speedy recovery from surgery and reduced rehabilitation
- Reduced reliance on pain medications after surgical procedure
Risks with MISS
MIS surgeries are usually performed as outpatient procedures and require only local anesthesia. In this way, there is a reduced risk for any harmful reaction to general anesthesia. As with any surgical procedure, despite being minimal and harmless, there are certain risks associated that include:
- Possible reaction to the anesthesia
- Unexpected blood loss during the surgery
- Some localized infections, no matter how small the incision might be
Conditions Treated Using MIS Procedures
- Degenerative disc disease
- Herniated disc
- Lumbar spinal stenosis
- Spinal deformities such as scoliosis
- Spinal infections
- Spinal instability including spondylolisthesis
- Vertebral compression fractures
- Spinal tumors
Standard MIS Surgery Treatment Options available
A large number of specific techniques have been used for MIS surgery. Though the field continues to develop, the list below highlights some of the common options for the surgery. Discectomy: Spinal discs are elastic rings with soft material inside that act as cushions between the vertebral bones. If this flexible ring becomes weak, the soft tissue inside can extrude or herniate outside this elastic ring. The herniated disc material can then add pressure on the nerves passing by, giving birth to pain. If any surgical treatment is recommended to remove the herniated disc, it is likely to perform this procedure with MIS surgery using a microscope, tubular dilators, or endoscope. Spinal decompression: Spinal stenosis is known as the narrowing of the vertebral canal. It is a common condition that can often result in compression of the nerves. This is set to produce a variety of symptoms, such as pain, numbness, and muscle weakness. If surgery is recommended, it is likely to get rid of the bone and soft tissues that cause the nerve compression through an MIS procedure. The more common decompressive procedures include foraminotomy and laminectomy. Transforaminal Lumbar Interbody Fusion (TLIF): This MIS technique is performed for patients with refractory mechanical low back and radicular pain that is related to spondylolisthesis, degenerative disc disease, and recurrent disc herniation. The process is performed from the back (posterior) with the patient on his or her stomach. Utilizing two small incisions, screws and rods are carefully placed between the two or more vertebral levels. The intervertebral disc is then carefully removed, and a cage filled with bone is placed in that void to stabilize the levels affected.
MISS at Shriram Spine Hospital
With its exceptional team of doctors, surgeons, and medical staff, Shriram Spine Hospital performs MISS to help patients get rid of chronic pain. The hospital is a pioneer spine specialty center. With an advanced ICU unit, fully operational emergency services fully equipped OTs, and other fully functional rooms, Shriram Spine Hospital has successfully performed minimally invasive spine surgery at Udaipur.
Frequently Asked Questions
Can spinal fusion be done minimally invasive?
A minimally invasive surgery (MIS) spinal fusion (mending the spine bones together) can now be accomplished using two small poke-hole incisions with minimal tissue dissection resulting in a faster recovery.
What does minimally invasive spine surgery mean?
It is a type of surgery on the bones of the spine (backbone). This type of surgery uses smaller incisions than conventional surgery and often causes less harm to nearby muscles and other tissues. It can lead to less pain and faster recovery after surgery.
How long does it take to recover from minimally invasive back surgery?
Minimally invasive surgery tends to cut recovery time in half as compared to traditional surgery. Usually, patients are sent home the day of the surgery, and they are often back to work after two weeks. Recovery time can take up to four to six weeks.