In the last twenty years, minimally invasive surgical techniques have become more practical as a more effective option for treating various spinal conditions. Research shows the many advantages of minimally invasive options over traditional open surgery.
Minimally invasive spinal surgery is a highly advanced procedure that involves making tiny incisions and muscle-sparing techniques to treat spine conditions. Spine surgeons can treat herniated discs, spinal stenosis, and spinal deformities using minimally invasive techniques.
If you are thinking about getting spinal surgery, here is an overview of how a minimally invasive approach works.
Understanding Minimally Invasive Spinal Surgery
Minimally invasive spinal surgery is designed to treat spine problems with the least amount of disruption to the surrounding muscles and tissues. Unlike traditional spinal surgery, which requires a long incision and significant muscle retraction, minimally invasive spine surgery uses smaller incisions and precise instruments to access the spine.
Some of the most commonly performed minimally invasive spine procedures are:
Lumbar Fusion
During lumbar fusion, the surgeon removes the damaged disc and places bone graft material between the affected vertebrae. Metal screws and rods are then used to stabilize the spine while the bones fuse together over time.
Microdiscectomy (Lumbar Decompression)
In a microdiscectomy, the surgeon makes a small incision in the lower back and uses a microscope to remove the portion of the herniated disc that is pressing on the spinal nerve. This procedure relieves nerve compression and associated pain.
Kyphoplasty/Vertebroplasty
In kyphoplasty, the surgeon inserts a balloon into the collapsed vertebra and inflates it to create space, which is then filled with bone cement. Vertebroplasty involves injecting bone cement directly into the fractured vertebra to stabilize it and reduce pain.
Posterior Cervical Foraminotomy
During posterior cervical foraminotomy, the surgeon makes an incision at the back of the neck and removes bone or tissue compressing the nerve roots in the cervical spine. This procedure enlarges the foramina (openings) through which the nerve roots exit, alleviating pressure and pain.
The Procedure
Here’s a general overview of what happens during minimally invasive spinal surgery:
#1 Preparation
Before the surgery, patients undergo a thorough evaluation, including imaging studies like MRI (magnetic resonance imaging) and CT (computerized tomography) scans. This helps the spine surgeon plan the procedure with high precision.
#2 Anesthesia
Right before the procedure, the patient is given general or local anesthesia to ensure they are comfortable and pain-free during the surgery.
#3 Making the Incisions
The spine surgeon makes one or more small incisions, typically less than an inch in length, in the back or side of the body. These incisions are the entry points for the surgical instruments.
#4 Inserting the Dilator and Retractor
A tubular dilator is inserted through the incision to gently spread the muscle fibers apart. This creates a pathway to the spine without cutting or damaging the muscle tissue. A retractor is then placed over the dilator to hold the muscles in this position, providing a clear view and access to the spinal area.
#5 Using the Endoscope
The retractor is used as an entry point for the insertion of an endoscope, which is a slender tube equipped with a camera and light at its tip. This allows the surgeon to see detailed images of the spine on a monitor, guiding them throughout the procedure.
#6 Performing the Surgery
With the help of the endoscope, the surgeon uses specialized instruments to perform the necessary repairs, such as removing herniated disc material, decompressing spinal nerves, or stabilizing the spine with screws and rods. The precision of these instruments allows for effective treatment with minimal impact on surrounding tissues.
#7 Closing the Incisions
Once the surgery is complete, the instruments are removed, and the small incisions are closed with sutures or surgical glue. These tiny incisions typically result in minimal scarring.
Benefits of Minimally Invasive Spinal Surgery
Minimally invasive spinal surgery offers numerous benefits over traditional open surgery:
1. Less Pain
Smaller incisions and less muscle disruption lead to reduced postoperative pain.
2. Quicker Recovery
Many patients typically enjoy shorter hospital stays and a speedier recovery, allowing them to resume their normal activities sooner.
3. Minimal Scarring
Small incisions result in less noticeable scars.
4. Reduced Risk of Complications
The precision of minimally invasive spinal surgery reduces the risk of infection and other complications associated with larger surgical wounds.
Recovery and Aftercare
After minimally invasive spinal surgery, patients are usually encouraged to start gentle movements and physical therapy soon after the procedure. This helps to promote healing, restore mobility, and strengthen the muscles around the spine. Follow-up appointments are essential to monitor progress and ensure a smooth recovery.
Minimally invasive spinal surgery is an effective and advanced option for treating various spinal conditions. If you are considering spinal surgery, consult a spine specialist to determine if minimally invasive spinal surgery is the right choice for you.
Minimally Invasive Spinal Surgery in Lone Tree, Parker, Colorado Springs, Aurora, and Castle Rock
The board-certified neurosurgeons at Front Range Spine and Neurosurgery are trusted names in minimally invasive spinal surgery. Our training in neurosurgery makes us uniquely qualified to treat individuals with spine conditions and neurological complications.
Our skilled specialists in spinal health will determine if you are suitable for this cutting-edge procedure. To schedule your appointment, call our office today at (303) 790-1800 or use our request form. We are proud to offer you the best in spine care in Colorado.
