Minimally Invasive Spine Surgery is also known as MISS. It implies a minimal surgical invasion.
MISS techniques is Target surgery and utilize more modern technology, advanced imaging techniques and special medical equipment to reduce tissue trauma, bleeding, radiation exposure, infection risk, and decreased hospital stays by minimizing the size of the incision and early rehabilitation.
It also makes possible surgery of previously considered too high risk for traditional surgery due to medical history or complexity of the condition.
Procedures done with a microscope require skin openings of approximately one inch, or more Minimally invasive spine surgery –
- Discectomy, Laminectomy and spinal canal decompression
- Inter body fusion surgery for degenerative and slipped disc
- Fracture fixation/stabilization
- Infection in spine
- Anterior cervical discectomy and fusion
- Artificial disc replacement or total disc replacement (cervical /Lumbar)
- Oblique and Anterior lumbar inter body fusion
- Percutaneous vertebroplasty, a.k.a. Kyphoplasty
- Decompression and fixation of spine tumor
- Endoscopic Discectomy and interbody fusion surgery
Exclusion – high grade deformity and complex tumor.
FAQ about Minimally Invasive Spine Surgery (MISS)
Q. Is Minimally Invasive Spine Surgery Safe
Ans: In the era of modern spinal surgery where technique and technology have advanced to the accuracy of < 1 mm precision, spine surgery has become very safe. Neuromicroscopes, Multimodal neuromonitoring, navigation, ultrasonic bone cutter and special drill burr and robotics make it safe.
Q. How long will be in hospital?
Ans: it depends of surgery. After discectomy/decompression patient can go on same day. for various stabilization and fusion surgery hospital stay will be 2-3 days in compare to 5-6 days after traditional open surgery.
Q. What is the recovery time, and when can I return to work?
Ans: This is individualised to special-to-special needs of patient, type of surgery, and patient occupation and need of work.
Q. Does Minimally Invasive Spine Surgery need physical therapy?
Ans: Minimally Invasive Spine Surgery will need physical therapy, but rehabilitation will be early, so recovery time will be reduced and one can resume work earlier.
Minimally Invasive Spinal Fusion
History - 42 years old lady presented with low back pain with radicular pain both the lower limbs and use to increase after standing and walking.
Investigations - MRI L.S. spine and dynamic x rays L.S. spine done- Anterolisthesis L4-5 grade II Lytic type.
Procedure Done - MIS TLIF (Transforaminal lumbar interbody fusion) was done.