Surgical operations in the spine can either be open or closed. Closed surgeries are the ones referred to as minimally invasive since the patient does not have to be cut open. Minimally invasive spine surgery, MISS, is indicated for various disorders of the spine including herniation of discs, bony spurs, infections and tumors. These are some of the facts regarding Minimally Invasive Spine Surgery in Long Island residents can put into consideration when seeking treatment.
In comparison an open procedure, minimally invasive spinal surgery, as the term suggests, barely alters the framework of tissues within the spine. As a result, patients recover faster after the operation. In MISS, the chances of infection are minimized by the fact that very minimal internal structures are exposed. The risk of bleeding is also significantly reduced.
On the flip side, the cost of performing minimally invasive surgeries is usually higher. Apart from the cost, it requires well trained, highly skilled professionals to ensure a successful procedure. Unfortunately, however skilled the surgeon may be, there are cases in which the procedure may have to be repeated or a different approach used. Examples of such cases include highly advanced spinal tumors, large bony spurs and other situations in which accessibility is a challenge.
Depending on a given spinal condition, various devices are used in MISS. Generally, the devices gain access to the affected area by carefully separating the overlying muscles without necessarily having to cut through them. This is how pain and bleeding are minimized hence the patient recovers much faster.
An example of a device used in this surgeries is the tubular retractor. This specialized conduit is carefully directly to the area that is defective. Deeper structures can better be visualized through the use of cameras placed within the conduit.
In conditions where the spine needs stabilization, screws and rods are used. MISS makes this possible with the help of radiological imaging. To avoid direct intrusion of muscle and other soft tissues as occurs in open surgery, guide wires are used in this case. The guide wire follows a particular path as directed by imaging. Once the wire gets to the point that needs to be operated on, the screws are directed to this point along the guide wire. This kind of minimal invasion is technically known as percutaneous placement.
To access the spinal region, the patient can either lie on the side are on their back depending on what area of the back is diseased. When the patient lies on the side, the approach is said to be lateral. It is commonly used for cases in which the lumbar region has a problem. It has the advantage of minimal pain since fewer muscles have to be traversed.
Sometimes, the area that needs to be operated on has to be accessed through the front part of the chest. The benefit of employing MISS in this cases is minimal disruption. In open surgeries, larger incisions would be made and the doctor may be forced to cut off some ribs to gain access.