Minimally Invasive Spine Surgery
Minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this result in less pain after surgery and a faster recovery /. Minimally invasive techniques are beginning to be used for a wider range of spine procedures, and have been used for common procedures like decompression and spinal fusion. In these procedures, doctors use specialized instruments to access the spine through small incisions.
1. Lumbar Spinal Fusion Surgery
Spinal fusion is a surgical procedure used to correct problems with the small bones of the spine (vertebrae). It is essentially a “welding” process. The basic idea is to fuse together the painful vertebrae so that they heal into a single, solid bone. Spinal fusion eliminates motion between vertebrae. It also prevents the stretching of nerves and surrounding ligaments and muscles. It is an option when motion is the source of pain, such as movement that occurs in a part of the spine that is arthritic. If you have leg pain in addition to back pain, your surgeon may also perform a decompression (laminectomy). This procedure involves removing bone and diseased tissues that can put pressure on spinal nerves.
2. Anterior Cervical Discectomy & Fusion (ACDF)
Anterior cervical discectomy and fusion (ACDF) is a surgery to remove a herniated or degenerative disc in the neck area of the spine. The incision is made in the front of the spine through the throat area. After the disc is removed, a bone graft is inserted to fuse together the bones above and below the disc space. Your doctor may recommend a discectomy if physical therapy or medications fail to relieve your neck or arm pain caused by pressure on the spinal nerves.
3. Cervical Disk Replacement Surgery
Cervical disk replacement surgery involves removing a diseased cervical disk and replacing it with an artificial disk. It is done when the space between your vertebrae has become too narrow and part of your vertebrae or your cervical disk is pressing on your spinal cord or spinal nerves, causing you pain, numbness, or weakness. When these symptoms do not respond to nonsurgical types of treatment, disk surgery may be recommended.
Using an artificial disk to replace your natural cervical disk is a new type of treatment that has recently been approved by the FDA. In traditional cervical disk surgery, the diseased disk is removed and the cervical vertebrae above and below the disk may be fused together. Disk replacement surgery may have the advantage of allowing more movement and creating less stress on your remaining vertebrae than traditional cervical disk surgery.
4. Balloon Kyphoplasty or Vertebroplasty
When you have been diagnosed with a spinal fracture caused by osteoporosis, cancer or benign tumors, balloon kyphoplasty is a treatment option you may want to consider. Balloon kyphoplasty is a minimally invasive procedure that can significantly reduce back pain and repair the broken bone of a spinal fracture. The procedure is called balloon kyphoplasty because orthopaedic balloons are used to lift the fractured bone and return it to the correct position.
Laminotomy and laminectomy are surgical procedures where a spinal bone, called the lamina, is partially or nearly totally removed, respectively. This bone is often described as the “roof” of the spinal canal, and the procedures can be thought of as unroofing the spinal canal. The procedures decompress the spinal cord or the nerves that are compressed by abnormal structures surrounding the spinal canal.
A laminectomy is when a majority of the lamina is removed, and a laminotomy makes a hole in the lamina and removes only a small portion of the bone. These two procedures allow a surgeon to see both the pathology and the nerves and are used to remove bone spurs, herniated discs, tumors, and overgrown ligaments that cause arm or leg pain by compressing the nerves in the spinal canal.