Minimally Invasive Spinal Surgery - Ashish Patel, MD

Minimally Invasive Spinal Surgery are less invasive than open surgery, reducing damage, improving recovery, and generally better patient outcomes.

PROCEDURES EXPLAINEDMinimally Invasive Spinal Surgery

Minimally Invasive Spinal Surgery or MISS refers to a collection of procedures less invasive than open surgery, with the intent of reducing damage, improving recovery, and generally better patient outcomes. These approaches can be faster, have a lesser cosmetic effect, and may even be performed under local anesthesia.

Conditions for which minimally invasive surgery are often an option include:

  • Degenerative disc disease
  • Disc Herniation
  • Lumbar spinal stenosis
  • Deformities of the spine
  • Infections of the spine
  • Instability of the spine
  • Vertebral compression fractures
  • SI Joint Dysfunction
  • Tumors of the spine

The goals of minimally invasive spine surgery are primarily decompression, to relieve nerves of pressure from impinging tissues, and stabilization of abnormal spine movements. It is performed through percutaneous or small-incision points of access to the spine, and uses a tiny video camera called an endoscope to visualize the tubular system of tools for manipulation of spinal tissues. These procedures are also guided by imaging, for two and three-dimensional views of the operative area during surgery.

Patient Animation VideoMinimally Invasive Spine Surgery (MIS)

What to Expect

  • Faster recovery after surgery
  • Less time spent in the hospital, usually less than two days
  • Outpatient surgery means you may return home a few hours after surgery
  • Less anesthesia
  • Less postoperative pain
  • Smaller incisions
  • Reduced scarring
  • Reduced soft tissue and muscle damage
  • Less blood loss during surgery
  • Lower risk of infection

Experiencing Symptoms of Back Pain?

Minimally Invasive Spinal Surgery may be the right approach for you. Dr. Patel is committed to high-quality, minimally invasive spine care. Schedule a consultation today.

Common Risks and/or Frequently Asked Questions

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Bleeding

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Blood clots

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Nerve damage

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Return of symptoms

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Failed fusion

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Infection

Post Procedural Instructions

  • Activity Restriction
  • Pain Management
  • Incision Care
  • Call if
  • Desk jobs may be returned to in about 2 weeks, but others may require 4 weeks or more
  • Do not drive or operate heavy machinery while taking narcotics
  • Do not try to lift more than 10 pounds
  • Do not smoke
  • Walk as often as is comfortable on non-slippery surfaces
  • Be mindful of body motion practices, as discussed with your physical therapist
  • Post-procedural pain may last days to weeks as the inflammation subsides
  • Do NOT take NSAIDs in the first few months following surgery, as they can interfere with the bone healing process
  • Take your prescribed pain medication as recommended, and inform your care team if relief is inadequate. It is normal to feel some degree of pain during the recovery process, but it should not be excruciating.
  • Unless otherwise stated, your incisions are most likely sutured from the inside.
  • Dressings may be removed about 48 hours after surgery, and incisions should be washed with soap and water
  • Do NOT soak the incision site, baths, hot tubs, and pools should be avoided for 2-3 weeks until the wounds have fully healed
  • Sunblock with SPF 30 or greater may be used to protect healing skin from discoloration, as new skin will lack the sun protectant pigment melanin
  • Fever of 101.5 F or greater
  • Redness, swelling, warmth around the incision site
  • New neurological symptoms, such as weakness or loss of sensation that was not present before
  • Loss of bowel or bladder control that is new
  • Severe Pain
  • Difficulty swallowing or speaking
  • Severe Headaches
  • Calf Swelling, as this may be a sign of thrombosis
  • Chest pain, difficulty breathing, or cough
X-Ray
An effective and inexpensive option for quickly visualizing skeletal structures and isolating potential problem areas.
MRI
This is the treatment modality of choice for visualizing the soft tissues of the back such as ligaments and the intervertebral discs. Similar to CT, MRI imaging may also be enhanced with contrast.
CT Scan
In Computed Tomography, x-rays are taken rotationally and a computer generates a three-dimensional rendering from the two-dimensional slices. This can be enhanced with contrast, called a myelogram, to further visualize the spinal cord and nerves, as well as possible tumors.

Common
Recovery Timeline

Initial Recovery from MISS usually only takes about two days.

Your first appointment following surgery will usually be about two weeks after your procedure.

Your follow-up appointment is usually between 6 and 12 weeks following surgery.

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Important Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Dr. Ashish Patel makes no representation and assumes no responsibility for the accuracy of information contained on or available through this web site, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this website with other sources, and review all information regarding any medical condition or treatment with your physician.

NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY SEEKING MEDICAL TREATMENT BECAUSE OF SOMETHING YOU HAVE READ ON OR ACCESSED THROUGH THIS WEB SITE.

Dr. Ashish Patel does not recommend, endorse or make any representation about the efficacy, appropriateness or suitability of any specific tests, products, procedures, treatments, services, opinions, health care providers or other information that may be contained on or available through this web site.

DR. ASHISH PATEL IS NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS WEB SITE.

Individuals’ outcomes may depend on a number of factors, including but not limited to patient characteristics, disease characteristics and/or surgeon experience.

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