What is Minimally Invasive Spine (MIS) Surgery?
Minimally invasive spine (MIS) surgery aims to achieve two main objectives: stabilising the vertebral bones and spinal joints and alleviating pressure on the spinal nerves . This approach is practical for addressing various conditions, including spinal instability, bone spurs, herniated discs, scoliosis, and spinal tumours.
Compared to traditional open-spine surgery, minimally invasive techniques offer several advantages. They often result in shorter operation times, increased safety, and reduced recovery periods. MIS surgeries minimise surrounding tissue and structural disruption by utilising smaller incisions and specialised instruments.
Minimally invasive spine surgery offers a valuable alternative to traditional open procedures, providing effective treatment options for various spinal conditions while promoting quicker recovery and improved patient outcomes.
Benefits of the Minimally Invasive Spine (MIS)
Minimally invasive procedures offer several potential benefits due to the reduced trauma inflicted on the muscles and soft tissues compared to open surgeries. These advantages include:
- Reduced blood loss: Minimally invasive techniques typically result in less blood loss during surgery compared to traditional open procedures, reducing the need for blood transfusions.
- Lower risk of muscle damage: Since the muscles are not cut or minimally disrupted, there is a reduced risk of muscle damage and associated complications.
- Decreased risk of infection: The smaller incisions and reduced tissue trauma lower the risk of surgical site infections, leading to a more favourable recovery.
- Less postoperative pain: Minimally invasive approaches cause less tissue disruption, reducing postoperative pain and decreasing the need for pain medications.
- Faster recovery and rehabilitation: Patients undergoing minimally invasive surgery often experience shorter recovery times and require less intensive rehabilitation, allowing them to return to regular activities sooner.
- Reduced reliance on pain medications: With decreased postoperative pain, patients may rely less on pain medications, promoting a quicker return to a normal, active lifestyle.
Furthermore, specific minimally invasive spine (MIS) surgeries can be performed on an outpatient basis, meaning patients can return home on the same day. These procedures often utilise local anaesthesia, reducing the risk of adverse reactions associated with general anaesthesia. Our team of skilled surgeons at Apex Hospitals is dedicated to providing the highest level of care to help you get back to your daily activities as quickly as possible.
How Minimally Invasive Spine Surgery Works
Due to the deep location of the spinal nerves, vertebrae, and discs within the body, accessing the spinal area in any procedure requires careful monitoring of the surrounding muscle tissue. Minimally invasive spine (MIS) surgery aims to achieve this by utilising small incisions through which specialised instruments and tiny video cameras can be inserted. It is worth noting that using lasers in MIS surgeries is infrequent and less common than is often perceived.
Standard MIS Surgery Treatment Options
- Discectomy: This procedure is used to treat herniated discs. It involves removing a portion of the damaged disc, pressing on the spinal nerve, relieving pain, and restoring nerve function.
- Decompression: MIS decompression surgery aims to relieve pressure on the spinal cord or nerves by removing a portion of the bone or tissue causing the compression. It is commonly performed to treat spinal stenosis, where the spinal canal narrows and pressures the nerves.
- Transforaminal Lumbar Interbody Fusion (TLIF) is a minimally invasive surgical technique to address persistent mechanical low back and radicular pain caused by spondylolisthesis, degenerative disc disease, and recurrent disc herniation. This procedure is performed through the posterior (back) approach while the patient lies on their stomach. During TLIF, two small incisions are made, allowing for the placement of screws and rods between two or more vertebral levels.
The procedure involves removing and replacing the intervertebral disc with a cage filled with bone graft material. This serves to stabilise the affected spinal levels and promote fusion. TLIF offers several advantages over traditional open surgery, including smaller incisions, reduced muscle and tissue trauma, and potentially faster recovery times. Using a minimally invasive approach, TLIF aims to alleviate pain, restore spinal stability, and improve overall function for patients with refractory low back and radicular pain.
Possible complications associated with minimally invasive spine surgery (MISS) include:
- Pain at the graft site
- Recurring symptoms
- Nerve damage
- Blood clots
It's important to note that the overall risk of complications in MISS is generally lower than in traditional open surgery. However, each patient's situation is unique, and potential risks should be discussed with the surgeon before the procedure.
Don't let spine surgery slow you down. Our minimally invasive approach is designed to get you back on your feet faster, with a safer procedure and a shorter recovery time. Trust our experts at Apex Hospitals for the best care possible.
Book an appointment now.