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Spine surgery is traditionally done as “open surgery,” meaning the area being operated on is opened with a long incision to allow the surgeon to view and access the anatomy. In recent years, however, technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical technique. Because minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recovery. Spine surgery is typically recommended only when a period of nonsurgical treatment — such as medications and physical therapy — has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered if your doctor can pinpoint the exact source of your pain, such as a herniated disk or spinal stenosis.
Minimally invasive techniques are beginning to be used for a wider range of spine procedures, and have been used for common procedures like decompression and spinal fusion since the 1990s. Decompression relieves pressure put on spinal nerves by removing portions of bone or a herniated disk. Spinal fusion corrects problems with the small bones of the spine (vertebrae). The basic idea is to fuse together the painful vertebrae so that they heal into a single, solid bone. This article focuses on decompression and fusion with a minimally invasive technique.
Minimally invasive spine surgery (MISS) is sometimes called less invasive spine surgery. In these procedures, doctors use specialized instruments to access the spine through small incisions.
In a traditional, open surgery, the doctor makes an incision that is 5 to 6 in. long and moves the muscles to the side in order to see the spine. With the muscles pulled to the side, the surgeon can access the spine to remove diseased and damaged bone or intevertebral disks. The surgeon can also easily see to place screws, cages, and any bone graft materials necessary to stabilize the spinal bones and promote healing.
What are the benefits of minimally invasive spine surgery?
Minimally invasive spine surgery offers several advantages over open surgery, which typically requires large incisions, muscle stripping, more anesthesia, a long hospital stay, and a long recuperation period. The benefits of spine surgery include:
- A few tiny scars instead of one large scar
- Shorter hospital stay – a few days instead of a week
- Reduced postoperative pain
- Shorter recovery time – a few months instead of a year – and quicker return to daily activities, including work
- Less blood loss during surgery
- Reduced risk of infection
Minimally Invasive Spine Surgery for Cervical or Lumbar Disc Prolapse,Herniated Disc, Spinal Disc Replacement at World Class Hospitals in IndiaMicrosurgical Discectomy – Microsurgical Discectomy is a procedure performed by utilizing a tubular device inserted through a very small incision. Muscles are moved aside to see the vertebrae. The herniated portion of the disc is removed to allow room for the nerve to resume its normal position. |
| Endoscopic Discectomy – Many surgical procedures have been revolutionized by the use of special TV cameras. The procedure is still the same, but even smaller incisions (1/4 inch) are made to insert a special magnified TV camera into the spinal canal so that the surgeon can actually see the disc material |
| Transforaminal Interbody Lumbar Fusion- Transforaminal Lumbar Fusion (TLIF) is a surgical technique that is performed from a posterior approach to stabilize the spinal vertebrae and disc between. By going through the transforaminal direction there is less bone removed so thus less disturbance to the site. By fusing the vertebrae to eliminate any movement between the bones, the spine is stabilized and a reduction of pain and nerve irritation is accomplished. |
| Posterior Lumbar Interbody Fusion (PLIF)- Posterior Lumbar Interbody Fusion (PLIF) is a surgical technique for placing bone graft between adjacent vertebrae (interbody). Using various instruments, the disc is removed through the right and left sides of the spinal canal and the intervertebral space, which has been cleared, is then packed with bone graft and a bone block or cage implant. Instrumentation, such as pedicle screws, are used to provide support for the fused vertebrae. Additional bone graft may be placed to ensure a solid fusion |
| Nucleoplasty or Percutaneous Discectomy – Nucleoplasty or Percutaneous Discectomy is a procedure utilized for the treatment of chronic back pain caused by a contained herniated disc. This minimally invasive procedure uses a needle that is placed into the center of the disc where a series of channels are created to remove tissue from the nucleus. Tissue removal from the nucleus acts to decompress the disc and relieve the pressure exerted by the disc on the nearby nerve root. |
Comprehensive Spine Surgery and Treatment at World Class Neurosurgery Hospitals in India:
Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
- Use of most advanced Surgical techniques for treatment of spinal ailments with focus on Minimal Access Micro Endoscopic spine surgeries, Functional spine preservation techniques and Spinal Arthroplasty for all( disc diseases) as well as instrumentation. Minimally Invasive Surgery ensures quicker recovery and return to active life.
- Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.
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