Minimally Invasive Spine Surgery, Microscope & Endoscope

What is Minimally Invasive Spine Surgery with Microscope and Endoscope?

Minimally invasive spine surgery (MISS) is an advanced surgical technique designed to treat spinal conditions with smaller incisions, reduced tissue damage, and faster recovery times compared to traditional open surgery. Using specialised tools like microscopes and endoscopes, surgeons can access the spine with greater precision and minimal disruption to surrounding muscles and tissues. This approach is commonly used to treat conditions such as herniated discs, spinal stenosis, and degenerative disc disease.

Types of Minimally Invasive Spine Surgery

MISS techniques vary based on the condition being treated and the tools used during the procedure. Common types include:

Microscope-Assisted Spine Surgery: This approach uses a high-powered surgical microscope to provide enhanced visualisation of the spinal structures. It is commonly used in procedures such as:

• Microdiscectomy: Removal of herniated disc material to relieve pressure on spinal nerves.

• Laminectomy: Removal of a small portion of bone or tissue to decompress the spinal canal.

Endoscopic Spine Surgery: This technique involves the use of a thin, flexible tube with a camera (endoscope) that provides a clear view of the surgical area on a monitor. It is used for procedures such as:

• Endoscopic Discectomy: Removal of herniated disc material using small instruments inserted through the endoscope.

• Foraminotomy: Widening of the openings where nerve roots exit the spine to relieve compression.

Hybrid Techniques: In some cases, surgeons may combine the use of microscopes and endoscopes to achieve optimal results for complex spinal conditions.

Benefits of Minimally Invasive Spine Surgery

MISS with a microscope and endoscope offer several advantages over traditional open surgery, including:

• Smaller Incisions: Reduces tissue damage, scarring, and postoperative pain.

• Improved Visualisation: Tools like microscopes and endoscopes enhance the surgeon’s ability to work with precision in confined spaces.

• Reduced Blood Loss: Minimising disruption to muscles and tissues results in less bleeding during surgery.

• Shorter Recovery Time: Patients typically experience faster healing and a quicker return to normal activities.

• Lower Risk of Infection: Smaller incisions and reduced exposure decrease the likelihood of postoperative infections.

Symptoms and Conditions Treated with Minimally Invasive Spine Surgery

MISS with a microscope and an endoscope is used to treat a variety of spinal conditions, including:

• Herniated Discs: Causing nerve compression and pain in the neck, back, or limbs.

• Spinal Stenosis: Narrowing of the spinal canal, leading to pain, numbness, or weakness in the legs.

• Degenerative Disc Disease: Age-related changes in spinal discs causing chronic back pain.

• Spondylolisthesis: A condition where one vertebra slips over another, leading to instability and pain.

• Spinal Tumours or Infections: Removal of abnormal growths or treatment of infected tissues with minimal impact on surrounding structures.

Diagnosis and Treatment Process

Diagnosis: A comprehensive evaluation is essential to determine if MISS with a microscope or endoscope is suitable for a patient. Diagnostic steps may include:

• Medical History and Physical Examination: To assess symptoms, mobility, and neurological function.

• Imaging Studies: X-rays, MRI, or CT scans provide detailed views of the spine and help plan the procedure.

• Nerve Function Tests: Electromyography (EMG) may be used to evaluate nerve and muscle activity in cases of suspected nerve compression.

Treatment: The MISS process typically involves:

• Preoperative Planning: Detailed imaging and analysis help the surgeon create a precise surgical plan.

• Surgical Procedure: Through small incisions, the surgeon uses a microscope or endoscope to access the affected area and perform the necessary repairs or removals.

• Postoperative Care: Rehabilitation and physical therapy are customised to help the patient regain strength, mobility, and function.

Conclusion

Minimally invasive spine surgery using microscope and endoscope techniques is an effective option for treating various spinal conditions with less disruption to the body and faster recovery times. This advanced approach ensures precise treatment, reduces postoperative pain, and helps patients return to their daily lives more quickly. At Singapore Brain Spine Nerves Center, we specialise in minimally invasive spine surgery tailored to meet each patient’s unique needs. If you are experiencing back pain or considering spinal surgery, schedule a consultation with our experienced team today.