What is minimally invasive spine surgery?
Minimally invasive spine surgery (MISS) is a recourse for intense and severe open surgical techniques that are traditionally done to treat various spinal conditions, such as degenerative disc disease, herniated disc, scoliosis, and spinal stenosis.
Minimally invasive spine surgery performed offers many prospects, such as lesser and not very deep incisions, minor cuts through soft tissues (eg, ligaments, muscles), outpatient options, less pain after surgery, and quick recovery.
The ancient style of open-spine surgery for a relatively small disc problem used to require a 5-6-inch incision and a month in the hospital.
The main aim of minimally invasive spine (MIS) surgery is to equilibrate the vertebral bones and spinal joints and to lessen strain being applied to the spinal nerves which are usually the consequences of conditions such as spinal instability, bone catalysts, herniated discs, scoliosis or spinal tumors.
It is faster, safer, and requires less recovery time. The reduced concussion to the muscles and soft tissues when compared to the potential benefits are:
- Promising cosmetic outcomes from smaller skin incisions (in some cases, millimeters).
- Less blood loss.
- Decreased danger to muscle damage.
- Less risk of infection
- Less rehabilitation needed
- Comparatively less support seeking from painkillers after surgery.
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Minimally Invasive Spine Surgery Procedure
A fluoroscope or an endoscope is used to determine where the incisions are to be made. A fluoroscope is an X-ray machine that displays images of the spine during the operation. An endoscope is a thin, telescope-like instrument attached to a camera that projects an internal view of your spine on the monitor. Small surgical instruments are inserted through the endoscope or through the other half-inch incisions through which tubular retractors have been placed.
Post-operation, the incisions are closed with stitches glue, or staples and kept safe with surgical tape.
“Minimally Invasive” Spine Surgery: What Is It?
The term minimally invasive spine surgery (MIS) simply describes the methods currently employed regularly for the majority of back surgery procedures.
Because it uses far tiny incisions to carry out surgical treatments that formerly required open back surgery, spinal doctors also refer to it as “endoscopic surgery.”
Technical breakthroughs in surgical instruments have made this feasible in significant part.
We now have better visibility via small incisions and can do even the most complicated treatments, like vertebrae fusion and spinal cord operations, using specialized retractors, video devices, and surgical equipment.
With less danger and several additional advantages, it is a new and better technique for back surgeons to treat people with chronic illnesses and pain.
The Benefits of Endoscopic Spinal Procedures in Cascade
- Fewer traumas when mending your spine is the result of all the benefits of endoscopic spinal operations.
- Here are some specific explanations for why this is accurate:
- Smaller site of the cut
- The incision site typically has a diameter of around one inch.
- If you know someone who has already undergone back surgery, you are aware that many surgeries involved almost filleting the patient’s spine. I’m done.
- Reduction in Tissue Trauma
- As surgeons maneuver down the length of the spine to carry out the delicate and exact repairs our patients need, smaller incisions naturally mean less tissue will be disturbed.
- Reduced Blood Loss Levels
- Less blood loss is also a result of less tissue trauma.
- Blood loss during surgery can result in a variety of additional complications unrelated to the ailment you were treated for.
- Decreased downtime
- Additionally, fewer pain receptors are disturbed and your body has to work less hard to heal from smaller incision sites.
- This indicates that overall recuperation time is accelerated (and scarring is reduced, too).
- These details imply that you can return to your regular life more quickly.
- It is possible to conduct procedures like herniated or bulging disc repairs, vertebrae fusions, and bone spur removal with significantly reduced risk and a faster recovery thanks to the cascading advantages of smaller incisions.
- Six common back surgery procedures are currently being treated with minimally invasive techniques.
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Repairs for Compression Fractures
These treatments, known as vertebroplasty and kyphoplasty, provide a means of treating compression fractures, which frequently develop from osteoporosis-related diseases.
In essence, the treatment is applying bone cement to the broken location, where it will harden and ultimately strengthen the vertebrae.
Spinal decompression after stenosis
The spinal canal has narrowed in the presence of spinal stenosis, typically due to impediments such as bone spurs.
This disorder may cause discomfort, numbness, or weakness in some locations.
An operation called a spinal laminectomy or spinal decompression is used to address this problem.
Your surgeon wants to clear any impediments from the spinal column and open it up to relieve strain on your nerves.
Removal of a herniated disc
A herniated disc is frequently to blame when patients visit the doctor with issues including squeezed nerves.
Consequently, laminectomies (discussed above) are frequently done in conjunction with a discectomy.
This is the phrase used in medicine to describe the removal of a herniated disc that is pushing on the spinal cord or nerve roots in the spinal column.
Spinal Canal Widening
Sometimes a disc “bulges” into the walls of your spinal canal without really becoming herniated.
It’s also crucial to understand that many patients who have compression endure a natural thickening of the vertebrae.
Your body is making an effort to give your nerves more protection by doing this.
In either case, to relieve discomfort and pressure on the damaged nerve root, your surgeon can enter the spinal canal endoscopically and widen the bone hole there.
Spinal Fusion with Minimal Invasiveness
Procedures for spinal fusion are used to treat many painful disorders, including but not limited to:
- Persistent back and neck discomfort
- Dystrophic disc disease
- Recurrent disc herniations
- Spinal unsteadiness (like spondylolisthesis)
- Traumatic fractures
- Other infections and tumors
In this operation, the spinal discs between the vertebrae must be removed, and the two neighboring vertebrae must then be fused using transplanted bone or metal plates fastened with screws.
Since spinal fusion surgery needs a longer recovery time than other surgeries for bone grafts to grow and fuse the bones, it is often only performed as a last choice.
Artificial replacement for a disc
There is an alternative to spinal fusion surgery for artificial disc replacement when patients have extensive disc deterioration.
Everything about the process is as it appears to be.
To restore height and movement between your vertebrae, the injured disc is taken out and replaced with a synthetic one.
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Name of Neurosurgeon: DR DEEP PARMAR
1) KHYATI MULTI-SPECIALITY HOSPITAL, OPP RAJPATH CLUB, AHMEDABAD, 380015
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