The Promise of Minimally Invasive Spine Surgery (MISS)
Dariusz J. Nasiek, MD - Accident Related Therapy & Pain Management
April 23, 2023
As we've seen, the evolution of spine surgery has been marked by constant innovation and progress, with minimally invasive spine surgery now offering a new paradigm in the treatment of back pain. This approach brings with it a multitude of benefits that can dramatically improve patient outcomes and overall satisfaction.
Some of the key advantages of MISS include:
- Smaller incisions: MISS requires only small incisions, typically ranging from one to two centimeters, compared to the larger incisions necessary for traditional open spine surgery [1]. This results in less damage to the skin, muscles, and other tissues, reducing the risk of infection and complications.
- Reduced blood loss: With the use of advanced surgical tools and techniques, MISS allows for better control of bleeding during surgery, leading to significantly less blood loss than in conventional procedures [1]. This can reduce the need for blood transfusions and improve overall patient safety.
- Less pain and scarring: Due to the smaller incisions and decreased tissue damage, MISS often results in less postoperative pain, allowing patients to recover more comfortably and quickly [2]. Additionally, the smaller incisions result in minimal scarring, making the procedure more aesthetically pleasing for patients.
- Faster recovery time: Since MISS causes less damage to the surrounding tissues, patients typically experience a quicker recovery period compared to traditional open spine surgery [3]. Many patients can return to their daily activities and work within weeks, rather than months.
- Lower risk of complications: The minimally invasive nature of MISS reduces the risk of complications, such as infection, blood clots, and nerve damage, which can be associated with more invasive procedures [1].
The potential of minimally invasive spine surgery to revolutionize back pain treatment is immense. By providing a safer, more effective, and less painful alternative to traditional surgery, MISS offers hope and improved quality of life for countless individuals suffering from chronic back pain. This book aims to empower patients, their families, and medical professionals by exploring the science and success stories behind this groundbreaking approach, and by providing the information needed to make informed decisions about treatment options.
References:
[1] Deutsch, H., & Musacchio, M. J. (2006). Minimally invasive spine surgery. The Iowa Orthopaedic Journal, 26, 129-134. [2] Adogwa, O., Parker, S. L., Bydon, A., Cheng, J., & McGirt, M. J. (2014). Comparative effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion: 2-year assessment of narcotic use, return to work, disability, and quality of life. Journal of Spinal Disorders & Techniques, 27(8), 367-371. [3] Wong, A. P., Smith, Z. A., Stadler, J. A., Hu, X., Yan, J. Z., Li, X. F., ... & An, H. S. (2015). Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF): surgical technique, long-term 4-year prospective outcomes, and complications compared with an open TLIF cohort. Neurosurgery Clinics, 26(2), 165-180.Nasiek, Dariusz, MD, Pain Management
Pain Management
Englewood, NJ
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