Minimally Invasive Spine Surgery
Minimally invasive spine surgery (MISS) is sometimes referred to as less invasive spine surgery. Here the surgeon uses specialized instruments to access the spine through small incisions. This approach uses modern technology, to decrease tissue trauma, bleeding, and staying in the hospital, and improves the ability to reduce the size of the incision.
Signs and Symptoms
- Lower back and neck pain.
- Arm or leg pain.
- Pain that affects daily routine activities, difficulty walking, work, and sleep.
Minimally invasive spine surgery commonly used in:
- Laminectomy (decompression surgery) – Total or partial removal of the lamina, to relieve pressure on the spinal cord or nerves.
- Spinal fusion – Joining of the tender vertebrae so that they form one bone.
- Fractures, Tumors, Infections, Instability, and deformity.
Tests and Diagnosis
- Showing symptoms of the patient.
- Movement, stability, and firmness are tested physically.
- X-ray images help determine the extent of the damage..
- A magnetic resonance imaging ( MRI) scan or a bone scan may be needed to determine the conditions of the bone and soft tissues of your back.
- The surgeon will assess and consider the benefits and possible drawbacks of minimally invasive spinal surgery.
- Complete a medical examination before surgery.
- Blood test to check for normal parameters.
- Some medications may need to be stopped before surgery. Non-steroidal anti-inflammatory medications include aspirin, ibuprofen, and blood thinners.
- This procedure is performed under anesthesia. The most commonly used forms of anesthesia used for MISS are common or regional.
- MISS is performed with special tools called tubular retractors.
- Throughout the procedure, a small cut is made and the tubular retractor is entered through the skin and soft tissues at the bottom of the spinal column. This makes a hole in the small area where the problem remains in the spine.
- The tubular retractor controls the muscles throughout the procedure.
- The surgeon approaches the spine using small instruments that pass through the middle of the tubular retractor.
- Any kind of bone or disk material that is removed remains through the retractor. Any type of device essential for surgery such as screws or rods is entered through the retractor. Some surgeries need more than one retractor.
- During surgery, the surgeon observes the area to be cut and enters the retractor using fluoroscopy or endoscopy.
- The tubular retractor is eliminated at the end of the process, and the muscles return to their original positions, which decreases muscle damage.
- An opening injury is stitched, stapled, or glued.
- Antibiotics are administered to prevent infection.
- Painkillers are prescribed for pain after surgery.
- The patient is usually released the same day or within 1 – 2 days of surgery. It depends on the overall health condition of the patients and the procedure.
- It is extremely critical to schedule appointments with the consultant for examination after surgery.
- Any kind of infection should be reported quickly.
- Physical therapy and rehabilitation are essential parts of the recovery process.
Any kind of operation comes with a risk of complications. It includes:
- Infection – Antibiotics help decrease the complication of infections.
- Pain or graft site.
- Recurrence of symptoms – Some patients experience a return of their initial symptoms.
- Rarely, nerves or blood vessels can be injured.
- Blood clots.
Factors Affecting Cost Of Minimally Invasive spinal surgery
The cost of surgery for the patient is determined by different factors. It includes:
- The hospital, the patient chooses.
- Type of Room.
- Cost of the doctor and his team, as well as the OT fee.
- Quality test and diagnostic procedure.
- Cost of the procedure.
- After surgery, it is necessary to pay for protection and care.