What is the difference between traditional open spine surgery and minimally invasive spine surgery?
Minimally invasive spine surgery (MIS) is a less invasive spine surgery where doctors use specialized instruments to access the spine through small incisions. With traditional open spine surgery, the surgeon makes an incision that is five to six inches long, then moves the muscles to the side to see the spine. As a result of a larger incision and movement of the muscles, there is greater potential for muscle injury, a lengthier recovery period and an increased risk of blood loss during surgery and infection when healing.

MIS offers several advantages over traditional open spine surgery, often providing faster, safer procedures with shorter recovery times. “Minimally invasive techniques have been a game changer in spine surgery and allow patients to return to activities much quicker than traditional open surgeries,” says Rasel Rana, DO, orthopedic spine surgeon. Due to reduced trauma to the muscles and soft tissues, MIS can lead to better cosmetic outcomes with smaller incisions. Other potential benefits include less blood loss, a lower risk of muscle damage since little or no muscle cutting is involved and a reduced chance of infection and postoperative pain. Patients typically experience faster recovery with less rehabilitation and may require fewer pain medications following surgery. Additionally, some MIS procedures can be performed on an outpatient basis using only local anesthesia, minimizing the risks associated with general anesthesia.

 

Is minimally invasive spine surgery right for me? 

MIS may be the right option for you if you suffer from any of the following conditions:

  • Degenerative disc disease
  • Herniated discs
  • Lumbar spinal stenosis
  • Spinal infections and instability, including spondylolisthesis
  • Vertebral compression fractures
  • Spinal tumors

Consult your physician to determine the best course of action for you. Every patient is unique, with different needs and conditions that may or may not make them a suitable candidate for MIS. It is important to have an open discussion with your physician to determine the most appropriate treatment plan and to discuss the potential benefits and risks of any procedure. Additionally, your doctor may recommend alternative treatments or therapies that could be just as effective, depending on your diagnosis. Remember, a personalized approach is key to achieving the best outcome for your health.

 

Resources:

https://www.aans.org/patients/conditions-treatments/minimally-invasive-spine-surgery/  

https://orthoinfo.aaos.org/en/treatment/minimally-invasive-spine-surgery/