Minimally Invasive Spine Surgery

Minimally Invasive Surgery:

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Recent surgical advancements have focused on performing surgery through smaller incisions, with less disruption to surrounding soft-tissues. The idea behind minimally invasive surgery is to perform the same treatment without damage to normal surrounding tissues. The drawback of minimally invasive surgery is that sometimes the underlying problem may not be adequately addressed because of an inability to get to the problem. Whenever a new minimally invasive procedure is introduced, there is almost always controversy as to whether or not the procedure is as good as traditional surgery.

Endoscopic Spine Surgery:

Endoscopic spine surgery uses specialized video equipment inserted through small incisions to see the structures of the spine. Similar to arthroscopic surgery of a joint, endoscopic surgery has advanced over the past decade from merely being able to look to the area of interest, to the ability to repair and reconstruct a variety of complex problems.The benefit of endoscopic spine surgery is the potential to address problems through very small incisions. By not damaging the muscles around the spine, recovery can often be much faster than with a larger surgical exposure.

Microdiscectomy, Microlaminectomy and Microforamenotomy:

All of these micro-surgeries are variations of standard surgeries used to take pressure off of the nerves around the spinal cord. Traditionally done through larger incisions, the micro procedures use smaller incisions and specialized surgical instruments to accomplish the same goals of traditional surgery.There is no rule on where the line between traditional surgery and micro surgery is drawn. To some doctors this means a smaller incision, to others it means the use of special surgical instruments. Many variations of a procedure could be considered micro surgery.

Laser Spine Surgery:

Laser spine surgery is a technique that uses a laser to remove damaged tissues. Because a laser can be inserted through small incisions, it can be used to cut away damaged tissues (such as disc fragments) without having to make a large incision.There is significant controversy about laser spine surgery as this technique has not been shown to have significant benefits, despite advertising that may make you think otherwise. Often marketed in magazines and the Internet, laser spine surgery has become the focus of some lawsuits formisleading patients about expected results from surgery.

Is It Better?:

Is minimally invasive surgery better? There are many ways to answer this question. The bottom line is that we simply do not know. There are theoretic advantages, and there are possible downsides. But there are very few studies that compare the possible risks with the potential benefits of minimally invasive surgery.The bottom line I suggest is to find a surgeon who, above all, is interested in fixing your problem, not someone who is selling you on a smaller incision. If the same benefit can be achieved without damage to normal tissues, then minimally invasive surgery may be a good option.

_Sources:

_{Mathews HH and Long BH “Minimally Invasive Techniques for the Treatment of Intervertebral Disk Herniation” J. Am. Acad. Orthop. Surg., March/April 2002; 10: 80 – 85.}

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Laser Spine Surgery Does it Work?, Laser Spine Institute, LSI, Laser Back Surgery, Laser Spine Work

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A board certified typically does spine surgery and or fellowship trained spine surgeon to relieve pain and other symptoms by decreasing the pressure on a compressed nerve or by stabilizing the spine.  In the case of a herniated or ruptured disc area, a discectomy may be done to remove the damaged portion of a disc in the spine; or a laminectomy may be done to remove bone spurs or other spinal growths. In cases where the spine is very unstable, a spinal fusion can be performed to secure together two or more of the vertebral bones so that they “fuse” together.  These surgeries are now often performed using minimally invasive techniques that minimize damage to the surrounding tissue and allow for a faster recovery with much less blood loss. Laser spine surgery is often promoted as being minimally or even noninvasive and risk-free.  However, these laser spine procedures do require incisions and the laser itself can result in many serious complications.

Laser

Laser spine surgery or Laser Back Surgery has never been studied in a controlled clinical trial to determine its effectiveness. Marketing pitches for spine surgery performed with a laser often make bold major promises of pain relief for chronic neck and back pain and a quick return to normal life; sometimes in a matter of days. What is often not clear from marketing hype is that laser spine surgery or laser back surgery done at such places as the laser spine institute does actually involve surgery.  An incision is required to allow access to the spine area in need of care.  A focused beam of light (laser) is then used only to remove the soft tissues over the spine.   Bone and ligament are then removed in order to free the nerve from compression using small instruments.  The laser in laser spine surgery or laser back surgery actually plays a very minor role in the total surgical procedure of the spine.

Lasers are certainly not new technology by any means.  Lasers have been available for use in medicine since 1973.  However, they have not been widely adopted as a tool to be used in spinal surgery ever.  The fact is that most neurosurgeons do not use or recommend the use of lasers for any spine surgery because there are no clear benefits and there are other well-established and documented studies proving the effectiveness of more modern and established spine surgery techniques.

The Importance of a Proper Diagnosis of you Condition

It is important to have a proper diagnosis of your problem before deciding to undergo spine major surgery.  Most cases of back and neck pain are muscular in origin and do not require or benefit from surgery. Unless severe pain or muscle weakness is making walking or performing daily activities extremely difficult, surgery is rarely the first line of treatment ever. Anti-inflammatory medication, physical therapy and exercise, lifestyle changes and other noninvasive treatment modalities such as therapeutic massage are often successful at resolving back and neck pain.

If conservative treatments fail to reduce back pain, then surgery may be necessary, depending on your current diagnosis. For example, if you have a herniated disk with leg or arm pain as a major symptom that hasn’t been relieved with other treatments, discectomy may be appropriate. If surgery is recommended, get a clear explanation of your diagnosis and how the surgery will help relieve your symptoms.

Traditional spine surgery has been tested in numerous clinical trials.  The major vast majority of patients who undergo discectomy for treatment of a herniated disc experienced relief from pain and other symptoms.  In elderly patients diagnosed with spinal stenosis, laminectomy is also a highly effectively procedure. Very few neurosurgeons regard laser spine surgery as a viable alternative to conventional spine surgery techniques. BecomePainFree spine surgeons do not use or recommend laser spine surgery or laser back surgery such as the ones done at the laser spine institute.

Mayo Clinic Opinion on Laser Spine Surgery

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THE REAL EXPERTS IN MINIMALLY INVASIVE SPINE TREATMENTS, MIS, MINIMALLY INVASIVE SPINE, Dallas, Coppell, Fort Worth, Addison, Plano Texas, TX

BecomePainFree.com compared to traditional open spine surgery, utilizes the knowledge of important anatomy, along with cutting-edge technology, to treat your spinal condition without causing undue injury to the surrounding soft tissues. Computer-assisted technology (such as computer navigation, nerve monitoring, and pain mapping) and highly specialized tools and instrumentation provide for the safe and effective treatment of your pain. Nearly all chronic neck and back pain that cam be treated openly (the most invasive), can be performed minimally invasively at MINIMALLY INVASIVE BECOMEPAINFREE.COM™. These modern and advanced minimally invasive techniques are used to treat common back and neck degenerative conditions like herniated disc and spinal stenosis, as well as bone spurs, bulging discs, and sciatica to name a few.

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MINIMALLY INVASIVE BECOMEPAINFREE.COM™ doctors are trained spine specialists who never use the typical expandable retractors. Our innovative and cutting edge minimally invasive spine equipment allows us to go between the muscle, often through an incision as small as 3 mm (the size of a large piece of rice), to avoid cutting the muscle altogether, this resulting in the most patient focused procedures which benefits include the smallest incisions you can possibly achieve, less blood loss, and considerably faster recovery times.

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A few of the advantages of
MINIMALLY INVASIVE BECOMEPAINFREE.COM:

• Fellowship-trained spine surgeons
• 100% of surgeon’s practice dedicated to spine care
• Innovative pain mapping process
• Isolates specific source and location of pain
• Enables surgeons to treat tile specific area in least invasive way possible
• True minimally invasive procedures
• No retractors used
• No tearing of muscles
• Incisions as small as 3mm
• Perform latest laser spine procedures
• Customized procedures based on each patient’s specific needs
• Not one size fits all
• Comprehensive list of advanced minimally invasive procedures
• Not just one procedure that many others offer

 

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Unlike other practices, MINIMALLY INVASIVE BECOMEPAINFREE.COM™ surgeons are trained spine specialists, more specifically, fellowship-trained and educated in the most innovative, minimally invasive technologies on the medical market. As leaders and innovators in their field, the MINIMALLY INVASIVE BECOMEPAINFREE.COM™ doctors are advisers to many international spine technology companies and have helped design many groundbreaking tools for the spine surgery industry.

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Minimally Invasive Spine Surgery ,(MIS), Minimally Invasive Spine, Minimally Invasive Surgery

This new way of helping and healing people in the spine surgery department of your doctors office  is now what people call Minimally invasive spine surgery. (MIS) was first performed in the 1980s or so, but has recently it seen rapid many advances. Technological advances have enabled spine and neuro surgeons to expand patient selection and treat an evolving array of spinal disorders, such as degenerative disc disease, herniated disc, fractures, tumors, infections, instability, and deformity. Our group here at www.becomepainfree.com would like to educate you on all of these types of procedures.

CT Scan of Burst Fracture | Donald Corenman, MD | Spine Surgery Colorado (Photo credit: neckandback)

One of the potential downsides of traditional, open lumbar (back) surgeries is the damage that occurs from the major 5- to 6-inch incision. There are many potential sources for damage to the normal tissue: the muscle dissection and retraction required to uncover the spine (which contributes to the formation of scar and fibrotic tissue), the need for blood vessel cauterization, and the necessity of bone removal. Disrupting natural spinal anatomy is necessary to facilitate decompression of pinched nerves and the placement of screws and devices to stabilize the spine process. This may lead to lengthy hospital stays (up to five days or longer in many cases), prolonged pain and recovery periods, and the need for postoperative narcotic use, significant operative blood loss, and risk of tissue infection.

MIS was developed to treat disorders of the spine with less disruption to the muscles. This can result in quicker recovery, decrease operative blood loss, and speed patient return to normal function. In some MIS approaches, also called ” band aid holes, and keyhole type surgeries,” surgeons use a small endoscope with a camera on the end of it, which is inserted through a small incision in the skin. The camera provides surgeons with an inside view, enabling surgical access to the affected area of the spine.

Not all of the critical mass of patients is appropriate ready candidates for MIS type procedures. We have a very educated team of some of the top doctors in the USA from Mayo Clinic Trained spine Surgeons to Jefferson Trained Spines surgeons feel free to do more research on our group at www.becomepainfree.com today. It is very important to keep in mind that their needs to be certainty that the same or better results can be achieved through MIS techniques as with the respective open procedures.

As with all non-emergency or elective spinal related surgeries, the patient should always undergo the appropriate period of conservative based treatments, such as physical therapy, pain medications, or bracing, without showing improvement, before surgery is considered. The time period of this varies depending on the specific condition and procedure, but is generally six weeks to six months. The benefits of surgery should always be weighed carefully against its possible risks.

Although a large percentage of patients say they report significant symptom and pain relief, there is no guarantee that surgery will help every individual patient.

Many MIS procedures can be performed on an outpatient basis. In some cases, the surgeon may require a hospital stay, typically less than 24 hours to 2 days in most cases, depending on the procedure selected.

The MIS Benefits

The potential many benefits of MIS include:

• Smaller incisions/ cuts
• Smaller scars/less scar tissue
• Reduced blood loss
• Less pain from the surgery and post operation
• Less soft tissue damages
• Reduced muscle retractions
• Decreased postoperative narcotics and medications
• Shorter hospital stay (you go home faster)
• Possibility of performing on outpatient basis
• Faster recovery/healing
• Quicker return to work and activities of daily living

Surgery Risks

As with any spinal surgical procedure, there are many risks, including:

• Allergic reactions
• Anesthesia reaction
• Bleeding
• Blood vessel damage
• Blood clots
• Bruising
• Death
• Dissatisfactory instrumentation placement; may require re-operation
• Headaches
• Incision problems
• Infections
• Need for further surgery
• Pain or discomfort
• Paralysis
• Pneumonia
• Spinal fluid leakage
• Stroke
• Blindness

Make sure your informed of all of these details before you elect to have spine surgery. We have a large group of doctors that would love to help you with any pain or spine related problems feel free to call our group we are ready 24/7 to help you with your pain, spine, or orthopedic problems. http://www.becomepainfree.com