Topic summary
Minimally invasive spine surgery
Minimally invasive spine surgery, also known as MISS, has no specific, universally agreed-upon definition among surgeons and clinical scientists. It implies a lack of severe surgical invasion. The older style of open-spine surgery for a relatively small disc problem used to require a 5-6 inch incision and a month in the hospital. MISS techniques utilize more modern technology, advanced imaging techniques and special medical equipment to reduce tissue trauma, bleeding, radiation exposure, infection risk, and decreased hospital stays by minimizing the size of the incision. Modern endoscopic procedures can be done through a 2 to 5 mm skin opening. By contrast, procedures done with a microscope require skin openings of approximately one inch, or more. The main philosophy is to reduce blood loss, tissue damage, and keep bone/tissue architecture intact.
MISS can be used to treat a number of spinal conditions such as degenerative disc disease, disc herniation, fractures, tumors, infections, instability, and deformity. It also makes spine surgery possible for patients who were previously considered too high-risk for traditional surgery due to previous medical history or the complexity of the condition.