How it works
Instead of one long incision, the surgeon works through one or more small openings using tubular retractors. The operating microscope or an endoscope gives a magnified view, and live X-ray (fluoroscopy) guides each step.
Because the muscles are gently separated rather than cut or stripped from the bone, there is less blood loss and less pain after surgery.
Procedures that can be done minimally invasively
- Microdiscectomy for a herniated disc
- Decompression (laminotomy) for spinal stenosis
- Spinal fusion for instability or spondylolisthesis
- Some procedures for spinal fractures
Who is a candidate?
Many, but not all, spine problems can be treated this way. The right approach depends on the condition, how many levels are involved and your anatomy. Dr. Dare will explain whether MISS fits your situation and what the alternatives are, including non-surgical care.
Recovery
Many minimally invasive procedures are done as outpatient surgery, so you go home the same day. Walking starts right away. Return to desk work is often within one to three weeks, with heavier activity added back over the following weeks, depending on the procedure.
Common questions
Is minimally invasive surgery as effective as open surgery?
For the right patient and condition, results are comparable, with less tissue damage and often a faster recovery. Some complex problems are still best treated with an open approach.
Will I stay in the hospital?
Many minimally invasive procedures are outpatient. Fusions and more extensive operations may need a short hospital stay.
This page is general information reviewed by Dr. Amos O. Dare and is not a substitute for a medical evaluation.