Minimally invasive spine surgery (MISS) is a surgical technique that doesn’t involve severe incisions or surgical invasion. In the old days, open spinal surgery required a five to six inch incision and up to a month in the hospital. However, today’s advanced technology allows surgeons to use a less invasive technique.
Minimally invasive spine surgery
In a minimally invasive spine surgery, the surgeon makes small incisions in the muscle and spinal cord while minimizing collateral damage. This method can improve surgical outcomes and minimize the severity of pain and disability. It can also result in a faster recovery for the patient. The procedure is performed under general anesthesia and patients are usually able to go home a few hours after the surgery.
The surgeon will use imaging technology to guide the procedure and may use an operating microscope and endoscope. These tools let him see inside the spine, which is crucial for a successful procedure. During the procedure, he can also use computer-generated models to help him plan the procedure. In addition, the surgeon will see what’s happening inside the spine on a monitor in the operating room.
Traditional open spine surgery
In traditional open spine surgery, a large incision is made down the spine to gain access to the spine. This allows the surgeon to remove damaged disks or diseased bones. Additionally, he or she can insert bone grafts or cages to support the spine and promote healing. The surgery is often accompanied by a long recovery period.
Minimally invasive procedures are also possible, using a camera attached to an endoscope. The endoscope helps the surgeon see the operating area clearly, allowing better visualization. Small surgical instruments called retractors are also used during the procedure. These tools help the surgeon visualize the spine and the soft tissues.
Endoscopic spine surgery
Endoscopic spine surgery is a highly effective procedure that can be performed through a small incision. The procedure reduces tissue damage, minimizes pain, and reduces the risk of infection. The procedure also requires minimal postoperative recovery time. Endoscopic spine surgery is a great option for older patients who are looking to reduce pain and improve their quality of life. The risks are minimal, and the procedure is commonly covered by insurance.
While endoscopic spine surgery is still a relatively young area in the field of spinal surgery, it has been improving rapidly. Over the last two decades, the literature supporting the procedure has rapidly increased. Although much of the evidence comes from case series and the personal experience of a single surgeon, several randomized trials have improved our understanding of the procedure.
Percutaneous spine surgery
Percutaneous spine surgery is a minimally invasive procedure that Dr Richard Parkinson creates the smallest incision possible in the patient’s skin. It separates the muscles from the spine, which allows the surgeon to use a small camera to perform surgical operations. The procedure also uses bone grafts and hardware to stabilize the spine. The hardware may be removed after the surgery or left inside the patient.
The major objectives of percutaneous spine surgery are decompression of nerve structures and correction of traumatic deformities. This minimally invasive procedure is safer than open surgery. However, the technique requires meticulous planning. Ideally, bone windowed computed tomography (BWCT) is used to assess the level affected and the surgical approach.