Minimally Invasive Spine Surgery also known as Minimally Access Spine Surgery or Endoscopic/Keyhole Spine Surgery and abbreviated as MISS is stared as a ground breaking technique as it successfully treats the wide spectrum of spinal intervertebral disc problems with smaller incisions, lesser muscle damage, no damage to the normal structure in spine and minimal recovery time. This technique also helps the expert surgeons to see only the location where the problem exists in the spine. Akin to the conventional spine surgery, the main objectives of MISS procedure are:
The Minimally Access Spine Surgery is very novel and safer substitute for the conventional spine surgery. Apart for this, the other advantages of MISS technique over conventional spine surgery are as follows;
The most common spine issues causing back or neck pain that can be treated by minimally invasive spine surgery are enlisted below;.
For the above-mentioned spinal conditions, there are two treatment options;
Spine Surgery is often recommended as a last treatment option. It is advisable for the patients where the clinical symptoms are chronic which has not stabilized for more than 2-3 months even after undergoing non-surgical treatment (conservative treatment) including medications, injections or physiotherapy.
The ultimate aim of the spine surgery is to excise the prolapsed disc part thereby decompressing the spinal cord by releasing the pressure caused by pinched spinal nerves. This is usually performed using one of the following techniques;
It is performed by removing a small part of the vertebral bone that is pinching over the nerve root or by removing a disc material from the nerve root it is compressing so as to provide spinal nerve root more space and provide a better healing environment. There are various procedures which are used for Spine Decompression. They are-
This fusion surgery is usually done using two approaches depending in the individual patient’s condition. One is the Anterior and another is Posterior approach. The anterior approach involves placing the bone directly into the section between the vertebrae where the shock-absorption disc had been situated.
Posterior approach however is the most common one in which the surgery is done from the back. Moreover, there are 3 main techniques in this approach, they are;
You are a right candidate for MISS (Minimally Invasive Spine Surgery) if;
MISS is done under general anesthesia through smaller incisions as compared to the traditional method. The advanced endoscopic instruments are used to perform the surgery in order to get the clear view of the internal organs of the body.
Few smaller incisions are made usually of size less that 0.5 inch. The designed surgical in instruments and excellent video transmitting machines are inserted inside the body through these incisions. Following this, spinal connections are moved to make space for the expert surgeon to place rods, screws, bone grafts as required.
Both the Minimally Invasive Spine Decompression and Fusion surgery are done with the specialized surgical instruments known as tubular retractors. These kind of small incisions on the surgical site easily allows the access of tubular retractor into the skin and soft tissues creating a tunnel to the spine which keeps the muscles and tissues in open position throughout the surgery. Various other surgical instruments can be used through this retractor so that the spinal fusion procedure can be completed which includes placement of rods and screws. Once the entire procedure is completed, the retractors are removed and sutures are placed to close the incisions.
India is one of the most affordable places for Minimally Invasive Spine Surgery across the globe. The cost of Minimally Invasive Spine Surgery in India is less than a one sixth of what it costs in Western countries to get the same treatment done.
Here's a look at the approximate costs of Minimally Invasive Spine Surgery in India:
|SNo||Name of Procedure||Cost in India (USD)|
|1||Evaluation and Investigation||300 - 500|
|2||Microdiscectomy||3500 - 4200|
|3||Minimally Invasive Fusion Surgery||5000 - 6800|
|4||Minimally Invasive Surgery (PLIF/TLIF)||5500 - 7000|
|5||Artificial Lumbar Disc Replacement Surgery||6000 - 8500|
After the MISS surgery, you can expect a remarkable and long-lasting improvements in your back and leg pain. The success rates of the Minimally Invasive spine surgery are excellent. Good nutrition and slowly increasing activity as recommended by the expert surgeon in the recovery period can help achieve success.
Soon after the surgery, you may experience very minimal pain and discomfort which can be very well controlled with the help of analgesics. You would be asked to walk on the same day or most likely the very next day of the surgery in order to prevent ant blood clot formation. Moreover, you would be advised to do regular breathing exercises post-surgery for better circulation of blood and to decrease the risk of any lung problem.
Hospitalization of around 5-6 days is required. You can resume your work usually in 2-3 weeks after the surgery, however, the heavy work is prohibited for few more weeks depending upon your recovery.
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