MISS: Minimally Invasive Spine Surgery

What is Minimally Invasive Spine Surgery (MISS)?

Minimally Invasive Spine Surgery (MISS) is a modern surgical technique that uses advanced tools and technologies to treat spinal conditions with less damage to surrounding tissues compared to traditional open surgery. By utilising smaller incisions and specialised instruments, MISS reduces recovery time, minimises pain, and lowers the risk of complications. This approach is commonly used for conditions such as herniated discs, spinal stenosis, degenerative disc disease, and fractures. MISS is an effective option for patients requiring surgical intervention but seeking a less disruptive and quicker recovery experience.

Types of Minimally Invasive Spine Surgery

Minimally invasive spine surgery encompasses a range of procedures designed to address different spinal conditions. Common types include:

Microdiscectomy: This procedure removes a portion of a herniated disc pressing on a nerve, alleviating pain and restoring function. It involves a small incision and the use of microscopic tools.

Minimally Invasive Spinal Fusion: MISS techniques can be used to stabilise the spine by fusing two or more vertebrae. This is often performed for conditions such as degenerative disc disease or spinal instability.

Laminectomy: In cases of spinal stenosis, a minimally invasive laminectomy removes the lamina (a part of the vertebra) to relieve pressure on the spinal cord or nerves.

Vertebroplasty and Kyphoplasty: These procedures treat compression fractures caused by osteoporosis by injecting bone cement into the vertebra to stabilise it and reduce pain.

Disc Replacement Surgery: Artificial discs are implanted to replace damaged spinal discs, maintaining motion and alleviating pain without the need for fusion.

Benefits of Minimally Invasive Spine Surgery

MISS offers several advantages over traditional open surgery, making it an appealing option for many patients:

• Smaller Incisions: Reduced disruption to muscles and soft tissues, resulting in less pain and quicker recovery.

• Shorter Hospital Stays: Many MISS procedures can be performed on an outpatient basis or require only a brief hospitalisation.

• Reduced Blood Loss: Smaller incisions minimise bleeding during surgery.

• Lower Risk of Infection: Less exposure during the procedure reduces the likelihood of infection.

• Faster Recovery: Patients typically return to normal activities sooner compared to traditional open surgery.

• Preservation of Spinal Mobility: Many MISS procedures, such as disc replacements, maintain or improve spinal motion.

Symptoms and Conditions Treated with Minimally Invasive Spine Surgery

MISS is used to treat a variety of spinal conditions, including:

• Herniated or Bulging Discs: Causing nerve compression and radiating pain.

• Spinal Stenosis: Narrowing of the spinal canal that puts pressure on the spinal cord or nerves.

• Degenerative Disc Disease: Chronic back or neck pain caused by age-related disc deterioration.

• Spondylolisthesis: A condition where one vertebra slips forward over the one below it.

• Compression Fractures: Commonly caused by osteoporosis, leading to instability and pain.

• Spinal Tumours: Benign or malignant growths requiring surgical intervention.

Diagnosis and Treatment Process

Diagnosis: A thorough evaluation is necessary to determine if MISS is the right option. Diagnostic steps include:

• Medical History and Physical Examination: To assess symptoms, mobility, and overall spinal health.

• Imaging Studies: X-rays, MRI, or CT scans provide detailed views of the spine, pinpointing the exact location and nature of the problem.

• Nerve Function Tests: Electromyography (EMG) may be used to evaluate nerve and muscle function in cases of nerve-related conditions.

Treatment: The MISS process involves the following steps:

• Preoperative Planning: Detailed imaging is used to create a precise surgical plan tailored to the patient’s anatomy and condition.

• Surgical Procedure: Through small incisions, specialised instruments and sometimes a microscope or endoscope are used to perform the surgery with precision.

• Postoperative Care: Tailored rehabilitation plans, including physical therapy, help patients regain strength, mobility, and function. Recovery is often quicker and less painful compared to traditional open surgery.

Conclusion

Minimally Invasive Spine Surgery (MISS) has revolutionised the treatment of spinal conditions by providing a safer, less invasive alternative to traditional open procedures. With smaller incisions, faster recovery times, and reduced risks, MISS offers patients a pathway to improved mobility and quality of life. If you are experiencing spinal issues and want to explore your treatment options, schedule a consultation with us today.