70% of spine surgeries can be done through minimallyinvasive techniques with better patient outcomes.
Patients
can walk within few hours of Minimally Invasive Spine Surgery (MISS) with less
chances of infection along with superior and safer clinical outcomes.
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.
64
year old Supriya Patil was operated four times in for unremitting back and leg
pain with very little improvement with each procedure. She had a 12-inch
incision running down her lumbar spine from those surgeries and was so averse
to having another operation that she preferred to be bed bound over the past
one year and was in immense pain. Her imaging was suggestive of instability
with residual compression. With great difficulty her family and her
neurosurgeon convinced her to get a Minimally Invasive surgery done.
By
making 2 small incisions each on either side of her spine, using minimally invasive techniques, her neurosurgeon was able to fix three extremely unstable
levels, release the pinching of the nerves and restore her spinal curvature.
With this, she was able to walk the same day of surgery and was discharged a
few days later with significant pain relief and is off all pain medication now.
Spine
surgery is traditionally an ‘open surgery’ with a recovery period of 2-3weeks.
This means that the area being operated on is minimally invasive techniques,
her neurosurgeon was able to fix three extremely unstable levels, release the
pinching of the nerves and restore her spinal curvature. With this, she was
able to walk the same day of surgery and was discharged a few days later with
significant pain relief and is off all pain medication now.
MISS
results in less pain post surgery and faster recovery. Special instruments and
systems like tubular retractors, image-guidance systems, and endoscopes aid
working through small incisions.
According to Dr Mazda Turel, the success of MISS
depends on:
●
Choosing the correct patient
●
Ensuring patients’ clinical findings corroborate the MRI/X-ray/CT scan findings
●
Operating for the precise indication at proper side and the right level
●
Selecting an appropriate surgeon, preferably a fellowship trained surgeon in
MISS techniques
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