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Overview

These are Spine surgeries done using cutting-edge technology and specialized instruments to accomplish the same clinical outcomes as traditional open surgery through a less traumatic approach. These are performed through one or more small incisions or punctures through which tubular retractors or an endoscope is inserted.

Using specialized instruments and microscopic visualization, surgery is performed through the tube. Endoscopes are thin tubes with a light source and camera. The endoscope is inserted through a small stab / incision and positioned. Small instruments are passed through the endoscope to the surgical site where the surgeon performs the procedure. The endoscopic set up enables the surgeon to view the surgery on a monitor.

What are potential benefits?

  • Less post-operative pain
  • Quicker recovery
  • Reduced blood loss
  • Less soft tissue damage
  • Smaller surgical incisions
  • Less scarring
  • Improved function
  • Less postoperative infection
  • Some procedures can be performed as outpatient surgery
  • Less postoperative pain medication
  • Time hospitalized is reduced
  • Patients return to regular activities sooner

What Conditions could be treated With MISS?

  • Back pain (lumbar pain)
  • Neck pain (cervical pain)
  • Sciatica
  • Herniated discs/Disc Prolapse
  • Spinal stenosis/narrowing of spinal canal
  • Spondylolisthesis
  • Degenerative disc disease
  • Spine fractures
  • Infection
  • Tumours

What are the procedures done with Minimal Invasive spine surgeries?

  • MIS Tubular Microdiscetomy
  • MIS Lumbar Microdecompression
  • Cervical Laminoforaminotomy
  • Endoscopic Lumbar and cervical discectomy
  • MIS TLIF
  • Percutaneous Pedicle Screw Instrumentation
  • Excision of spinal tumours.
  • Vertebroplasty
  • Kyphoplasty

When should I consider surgery?

Surgery should always be the last resort when it comes to treating spinal conditions in the neck and back. However, if various non-operative treatments have been attempted without improvement or worsening over a 6-12 month period, then surgical treatment seems reasonable for certain specific conditions such as spinal stenosis, sciatica, spondylolisthesis or degenerative scoliosis. The decision for surgery should be individualized to the patient and the patient's symptoms, along with their level of function.

Am I a candidate for minimally invasive spine surgery?

The field of minimally invasive spine surgery continues to grow. Most surgeries today can be treated with some aspect of minimally invasive surgery. However, there are certain conditions that require standard open treatment, such as high-degree scoliosis, tumours and some infections.

How long will I be in the hospital?

In general, minimally invasive spine surgery decreases the hospital stay by one-half. In a typical endoscopic discectomy, the surgeries are performed in the same day, and the patients go home shortly after surgery on the same day. For various types of lumbar fusion surgery, the patient typically goes home in 2-3 days, where previously they stayed in the hospital 5-7 days. Furthermore, the immediate post-operative period is marked by much less pain when using minimally invasive techniques.

When can I go back to work after minimally invasive back surgery?

The decision to return to work should be individualized to the patient, as well as the patient's occupation. For patients with sedentary jobs, such as office work, a minimally invasive discectomy would allow that patient to begin part-time work within 1-2 weeks. For a larger surgery such as a fusion, this may take 4-6 weeks. Again, return to work is much faster using minimally invasive surgery vs. standard open surgery but this decision is individualized to special needs of each patient.

How long is the recovery?

Recovery from each surgery is different. Some patients return to full activity in 6 weeks while other patients require more time. We encourage all patients to participate in a physical therapy program to safely begin the process of returning to all normal activities.

After surgery, how long will my pain last?

On average, patients who have had minimally invasive spine surgery are discharged in half the time of traditional surgery and the pain usually follows this rule. Each procedure will have a different rate of recovery.

Do I have to wear a brace?

Although most patients are provided a brace, this is for comfort only. The use of minimally invasive techniques that preserve muscle function, along with specialized implants that act as an internal brace, allows one to avoid having to wear a brace. Most patients find that the brace improves their pain for about 1-2 weeks, and thereafter it is only worn occasionally.

Will I need physical therapy after I get minimally invasive spine surgery?

Physical therapy is an important component of a rapid recovery. This is individualized to the patient, but in most cases, physical therapy started 2 weeks after surgery, depending on the surgery performed and the patient's overall condition.

Why aren’t more hospitals and surgeons performing MIS surgeries?

Minimally invasive surgery is highly technical. This requires significant training of the surgeon as well as the Operative staff. Furthermore, the equipment needed to perform these procedures safely and effectively can be very expensive. At Kokilaben Hospital, we are committed to the efficacious advancement of new technologies that promises to improve patient health and well being.

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