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The purpose of Minimally Invasive Spine (MIS) Surgery is to stabilise the vertebral bones and spinal joints while also relieving pressure on the spinal nerves, which is frequently caused by disorders such as spinal instability, bone spurs, ruptured discs, scoliosis, or spinal tumours. The goal of Minimally Invasive Spine Surgery is to cure spinal issues with the least amount of damage to the muscles and other naturally occurring elements of the spine. Conventional spinal surgery for metastatic spinal tumours is highly intrusive and necessitates a lengthy hospital stay to stabilise the spine and relieve nerve compression caused by the tumour. However, spinal operations have advanced significantly in recent years. Minimally invasive operations and locally curative procedures, such as Total En Bloc Spondylectomy (TES), are becoming more popular. When compared to open-spine surgery, minimally invasive surgical procedures can be faster, safer, and require less recovery time.
It involves less stress on muscles and soft tissues compared to open operations. Minimally Invasive Stabilisation Surgery (MISS) is a type of spine surgery that uses minimally invasive procedures to stabilise spinal structures (vertebrae, joints, and intervertebral discs) while relieving pressure on pinched spinal nerves. MISS treats numerous conditions, including:
All of the disorders mentioned above cause severe pain, weakness, numbness, and loss of movement and flexibility in the spine. Age, heredity, traumatic events such as vehicle accidents and falls, and normal wear and tear can all cause alterations and damage to the spinal discs and other components within the spine.
Traditional spine surgery frequently requires larger incisions, more muscle and tissue cutting, and longer recovery times. Minimally invasive surgery seeks to accomplish the same results through smaller incisions, less disruption to surrounding tissues, and faster recovery.
Yes, Minimally Invasive Spinal Stabilisation can be used in conjunction with other spine operations to treat various spinal diseases or complex spinal difficulties. Your surgeon will explain the best treatment approach for your unique case and, if necessary, prescribe a combination of surgical methods.
Your surgeon will provide you with special instructions that will help you prepare for surgery according to your unique needs and medical history. This could include advice for fasting before surgery, drugs to avoid, and strategies to improve your health and recovery.
Spine surgery is advised when nonsurgical treatments such as drugs, physical therapy, or epidural steroid injections fail to relieve neck or back pain. Indications for Minimally Invasive Spine Surgery include:
Minimally invasive spinal stabilisation techniques are always conducted under general anaesthesia, which means the patient is sleeping throughout the process. In some circumstances, regional anaesthetic techniques such as spinal or epidural anaesthesia can be used to alleviate pain during and after the treatment.
Spinal Fusion Surgery can be defined as a surgery that permanently joins two or more bones in your spine, preventing movement between them. The surgeon applies a graft to fuse the bone. There are various types of graft materials:
Autograft: An autograft is made up of strips of bone taken from the surgical site or another part of your body, such as your pelvic bone.
Allograft: An allograft is cadaver bone harvested from a bone bank. Grafts can also be manufactured with synthetic materials.
Spinal Fusion Surgery can be approached from the front, side, or rear. In certain circumstances, fusion surgery can now be performed utilising minimally invasive techniques because of recent technical advancements.
Several specialised procedures have been used for MIS surgery. Though the field is still developing, the list below illustrates some of the most frequent alternatives.
Discectomy: A Discectomy is a minimally invasive surgical procedure used to remove part or all of a damaged or herniated disc in the spine. This helps to relieve pressure on the spinal nerves, reducing pain, numbness, and weakness in the back, legs, or arms.
Spinal Decompression: A surgical procedure aimed at relieving pressure on the spinal cord or spinal nerves caused by conditions such as spinal stenosis, herniated discs, or other spinal abnormalities.
Transforaminal Lumbar Interbody Fusion (TLIF) is a MIS procedure used to treat refractory mechanical low back and radicular pain caused by spondylolisthesis, degenerative disc disease, or recurrent disc herniation. The surgery is done from the back (posterior), with the patient on his or her stomach. Screws and rods are inserted between two or more spinal levels via two tiny incisions. The intervertebral disc is removed, and a bone cage is inserted into the void to stabilise the afflicted levels.
When minimally invasive surgery is compared to traditional open-spine surgery, minimally invasive surgical procedures are faster, and safer, and they need less recovery time. Potential benefits of Minimally Invasive Spine Stabilization include:
Smaller skin incisions (as little as a few millimetres) produce better cosmetic benefits
Reduced reliance on pain drugs following surgery
Less blood loss during surgery.
Reduced muscle injury due to minimal cutting, as well as a lower chance of infection and pain after surgery.
Faster recovery following surgery and less therapy are necessary.
As with every surgery, there are certain disadvantages involved, which include, but are not limited to:
Potential adverse reaction to the anaesthesia
Unexpected bleeding throughout the surgery
Localised infections, regardless of how small the incision area. And, while it is uncommon, the initial MIS surgery may fail, necessitating a second procedure or full open surgery.
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