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Minimally Invasive Spine Surgery “A small incision can make a BIG difference” Minimally invasive procedures are performed through a tiny incision in the skin with little impact to surrounding tissue. This approach allows surgeons to successfully treat a variety of spine-related problems with the least amount of tissue disruption and with the same outcome as open surgeries. How is it performed? What is Minimally Invasive Spine Surgery (MISS)? Pushpanjali Crosslay Hospital
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Minimally Invasive Spine Surgery
“A small incision can make a BIG difference”
What is Minimally Invasive Spine Surgery (MISS)?
Minimally invasive procedures are performed through a tiny
incision in the skin with little impact to surrounding tissue.
This approach allows surgeons to successfully treat a variety
of spine-related problems with the least amount of tissue
disruption and with the same outcome as open surgeries.
How is it performed?
Conventional spine surgery requires a long incision and a
lengthy recovery period. Minimally invasive surgery, also
known as "keyhole" surgery, uses a series of small dilators
and an appropriate size tubular retractor through which
small instruments are passed and surgery is performed under
an Operating Microscope. Small surgical instruments may
then be passed through one ormore additional half-inch
incisions. Following the procedure, the small incisions are
closed with sutures and covered with surgical tape. After a
few months, they are barely visible.
Can MISS be performed on all patients?
No, it cannot be performed on all patients. Nor is it appropriate
for all patients. While the field of minimally invasive surgery is
changing rapidly, minimally invasive spine surgery can be
performed for:
?Prolapsed Intervertebral Disc (PIVD): also known as
herniated disc; slipped disc
?Lumbar spine stenosis: gradual narrowing of the spinal
column
?Spondylolisthesis: slipping of all or part of one vertebra
forward on another vertebra
?Degenerative scoliosis: gradual inability of the spine in
maintaining its normal shape
?Cervical foraminal stenosis: narrowing of the cervical
disc space
?Osteoporotic collapse: breakdown of a vertebra resulting
in a decreased height of its body
?Failed previous spine surgery
?A thorough evaluation is required by the treating
physician before the surgery.
What procedure can be performed using MISS?
?Microscopic discectomy: to decompress the spinal nerve
roots and spinal cord
?Minimally invasive lumbar laminectomy: to relieve
excess pressure on the spinal nerve(s) and spinal cord.
?Minimally invasive Posterior Lumbar Interbody Fusion
(PLIF) and Tranforaminal Lumbar Interbody Fusion
(TLIF): joining or fusing of two or more vertebrae to
relieve nerve compression and associated back pain.
?Kyphoplasty: treating painful vertebral body
compression fractures associated with osteoporosis.
Scar after Open surgery
What are advantages of MISS?
Typically, MISS allows for the same outcomes as
conventional spine surgery. Benefits of minimally invasive
back surgery include:
?A few tiny scars instead of one large scar
?Shorter hospital stay - a few days instead of a week
?Reduced postoperative pain
?Shorter recovery time - a few days instead of weeks -
and quicker return to daily activities, including work.
When can I get back to work?
Typically after a conventional surgical procedure it takes 6-8
weeks but with MISS techniques, routine activities can be
started in 5 days and its back to work in 8 to 10 days.
?Vertebroplasty: relieve the pain of compression
fractures and strengthening vertebral bodies that are
weakened but not yet fractured
?Cervical foraminotomy: widening the area where the
spinal nerve roots exit the spinal column to relieve
pressure and thereby, pain.
?Percutaneous pedicle screw fixation for fusion and
fractures
The Team
The team consists of a senior neurosurgeon,
orthopedic spine surgeon (trained in minimally
invasive spine procedures from USA), general
orthopedic surgeons, and pain management
specialists. Physiotherapists and counselors provide
additional support.
The operating rooms are equipped with operating
microscopes and the latest equipments.
Dr Raj Kumar
Dr Ajay Popli
Dr U.K. Sadhoo
Dr Hemant Gupta
Dr Girish Chhabra
Dr Akhil Kulshrestha
Neurosurgeon
Minimally Invasive Spine Surgeon
Orthopedic Surgeon
Pushpanjali Crosslay HospitalW-3, Sector-1, Vaishali, Ghaziabad-201009, UP, India
Tel: 4188000
Email: [email protected]
www.pushpanjalicrosslayhospital.com
+91 120 4173000,
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