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Spine Surgery

Minimally Invasive Spine Surgery

Minimally invasive spine surgery (MISS) is a substitute to standard open surgical techniques performed to treat different spinal disorders, like degenerative disc disease, herniated disc, scoliosis, and spinal stenosis. Spine surgery done minimally invasively gives several promising benefits, like small incisions, less cutting through soft tissues for instance, ligaments, muscles, outpatient alternatives, less post-operative pain, and quicker recovery.

Common Spine Surgery Goals

Decompression - Spinal decompression includes removing tissue that is compressing nerve structures, like a spinal nerve root or the spinal cord. Bone spurs or fragments from a herniated disc are examples of tissues that could cause neural compression.

Stabilization - Abnormal movement of one or more levels or segments of the spine could cause back or neck pain. Surgical procedures that balance and stop the movement of the spine include spinal instrumentation and fusion.

Minimally Invasive Spine Surgery Techniques

Minimally invasive spine surgery might include percutaneous through the skin or mini-open small incision techniques. Instead of cutting through soft tissues, segmental tubular retraction makes an expandable tunnel that passes between muscles to access the spinal column. An endoscope, a small video camera, projects visualization of the surgical region on a monitor during the technique to the spine surgeon. The surgery is done through the tubular retraction system utilizing specially crafted instruments.


Types of surgical techniques performed minimally invasively involve

  • Discectomy or Microdiscectomy
  • Foraminotomy or Microforaminotomy
  • Microlaminectomy and Microlaminotomy

Surgical imaging systems and image-guidance technologies, like fluoroscopy or real time x-ray, are used during surgery to pinpoint the key aspects of the patient’s spinal anatomy. Additionally, surgical imaging projects 2-D and 3-D views and guides placement of instrumentation, like pedicle screws.



4 Spinal Disorders Treated Using Minimally invasive spine surgery (MISS)

  • Degenerative disc disease
  • Herniated discs
  • Scoliosis
  • Spinal stenosis

Risks of Minimally Invasive Spine Surgery

Any kind of spine surgery provides potential benefits and risks problems might happen. Listed below are several possible problems which might happen during and / or after spine surgery both open and minimally invasive spine surgical techniques.

  • Bleeding
  • Blood clots
  • Nerve damage
  • Return of symptoms
  • Failed fusion (called pseudarthrosis or non-union)
  • Infection

Are You a Candidate for Minimally Invasive Spine Surgery (MISS)?

Minimally invasive spine surgery provides many benefits: smaller incisions, less pain, fewer risks, and quicker recovery times. Although, Minimally Invasive Spine Surgery (MISS) is still a surgical technique. Keep in mind that less than 5 percent of people with back or neck pain require spine surgery and, surgery must be the last resort for treating pain caused by a spinal disorder.

Dr. David Masel is well versed in minimally invasive surgery techniques to treat neurological disorders affecting the spine. If you or anyone you know is suffering from spinal injuries or spinal cord disorders like :-

  • Herniated disc
  • Spinal stenosis
  • Spina bifida occulta
  • Spine trauma
  • Spinal tumors

Please book an appointment with Dr. Masel, call +1(469) 833-2927 to schedule a consultation.