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Minimally invasive spine surgery

What is Minimally-Invasive Spine Surgery?

Minimally-invasive spine (MIS) surgery, offered by NeuroSpine Plus, is a modern approach to spinal surgery that utilizes smaller incisions, resulting in minimal damage to surrounding muscles and tissues. This technique enables faster recovery and reduced post-operative pain.

Unlike open surgery, which involves an extended incision and the need to move muscles and tissues, MIS employs our signature microscopic technique with access to the spine through a small incision. Using specialized instrumentation, our surgeons create a pathway to the affected area of the spine, gently displacing the muscles and tissues. Using specialized tools and real-time X-ray imaging with the aid of a microscope, Dr. Scheid and Dr. Hunt perform various spinal procedures with minimal residual scarring or postoperative pain.

Considered appropriate for various spine surgeries, including lumbar discectomy, laminectomy, and spinal fusion, MIS at NeuroSpine Plus ensures optimal outcomes while minimizing the impact on the patient’s overall well-being.


What symptoms are treated using a minimally-invasive spine surgery?

Most individuals experiencing back pain find that surgical intervention is not necessary. However, if your back problem persists despite alternative treatments like medication or physical therapy, your healthcare provider may recommend spine surgery as a potential solution. It is important to note that spine surgery is not a universal remedy for all types of back issues. Your healthcare provider will only suggest spine surgery if it is deemed beneficial for your specific condition. These are conditions that could potentially be treated with a Minimally-Invasive Spine Surgery:

  1. Herniated disc
  2. Spinal stenosis (narrowing of the spinal canal)
  3. Spinal deformities (such as scoliosis)
  4. Spinal instability
  5. Spondylolysis (defect in lower vertebrae)
  6. Fractured vertebra
  7. Tumor removal in the spine
  8. Lumbar radiculopathy
  9. Revision lumbar fusion
  10. Compression fracture
  11. Neurogenic claudication

If you are considering spine surgery, consult with a neurosurgeon at NeuroSpine Plus to see if a minimally-invasive spine surgery (MIS) is an appropriate option for you. 

How is a Minimally-Invasive Spine Surgery performed?

Before undergoing any spinal surgery at NeuroSpine Plus, our surgeons and team of experienced providers fully explain and brief you on the procedure addressing all of your concerns. 

Before your surgery, your doctor will provide you with instructions to include but are not limited to:

  • No eating or drinking after midnight
  • Stop taking certain medications such as anti-inflammatories or blood thinners
  • Wash the surgical area with antibacterial soap the night before, and the morning of, your procedure

If you have been considered a candidate for a minimally invasive spine surgery, your surgeon may suggest other measures first such as stopping smoking or maintaining a healthy body weight to promote postoperative healing.

On the day of surgery, you will be given general anesthesia by a trained anesthesiologist. You will be completely asleep before the procedure begins. 

Exact surgical details may vary from what is outlined below depending on multiple factors including your past medical and surgical history, preoperative imaging findings, and the complexity of your individualized procedure.

  • A small incision(s) will be made on your back to access the spine. 
  • The size of the incision will depend on the type of procedure you are undergoing  
  • A small piece of bone will be removed to access the affected exiting nerve root
  • Compressive disc, or bone, material will be removed, freeing the nerve root and spinal cord
  • Accompanying procedures may be performed to ensure adequate pain relief and sustainability, such as the insertion of a disc spacer and/or stabilizing instrumentation
  • The incision(s) will be closed with multiple layers of dissolvable sutures and covered with a dry, sterile dressing

At NeuroSpine Plus, we prioritize the highest standards of care and personalized treatment, ensuring optimal outcomes for each patient undergoing MIS.

What to expect following a Minimally-Invasive Spine Surgery

Your postoperative healing progress will be closely overseen by our team of providers, ensuring a routine recovery. A member of our team will contact you within the first 48 hours of your procedure to monitor your progress. Your initial post operative appointment will be scheduled within two weeks of your surgical date. A member of our team is always available to answer questions or address your concerns during your recovery period. General postoperative recommendations include, but are not limited to the following:

  • Use of postoperative pain medications as prescribed

  • Over-the-counter Tylenol for pain

  • Advance your diet as tolerated as discussed with your team; ensure regular bowel movements.

  • Avoid bending/twisting/ lifting 

  • Do not lift greater than 10 pounds

  • Do not smoke

  • Do not drink alcohol

  • Attend all scheduled follow-up appointments

  • Do not use NSAIDs until cleared by your surgeon (Advil, Ibuprofen, Motrin, Aleve, etc)

  • Incision care to include washing your incision with gentle antibacterial soap 48 hours after your procedure. No scrubbing, submerging, or soaking the incision(s). No lotions, creams, oils, or ointments atop the incision(s).

When to contact your doctors office

If you have concerns during your postoperative period to include, but not limited to the following:

  • High fever greater than 100.4F
  • Change in urinary or bowel habits
  • Swelling or discoloration of one or both calves
  • Shortness of breath
  • Chest pain
  • Palpitations
  • Lightheadedness
  • Incisional compromise
  • Loss of strength in your arms or legs

If you have a question regarding your initial postoperative period, a member of our team is always available to answer and address your concerns at 201-399-3388.

Minimally-Invasive Spine Surgery FAQs:

The post-operative discomfort is typically reduced with NeuroSpine Plus’s Minimally-Invasive Spine Surgery (MIS) due to smaller incisions and minimal soft tissue damage. However, pain tolerance varies between individuals and can be challenging to predict. At NeuroSpine Plus, we prioritize your postoperative comfort and employ optimal medical measures to manage and alleviate any discomfort you may experience.

The timing for beginning postoperative physical therapy sessions will depend on your specific physical condition and the expert judgment of your neurosurgeon at NeuroSpine Plus. Your postoperative period is monitored closely by our team, ensuring a routine recovery and resolution of your discomfort. 

All surgical procedures have an inherent level of risk associated with them. With the MIS procedure performed by our board-certified neurosurgeons, the risks are rare. All risks and benefits associated with undergoing any surgery at NeuroSpine Plus are discussed at length with our board-certified neurosurgeons prior to proceeding with your procedure. 

If you believe you may be a candidate for a minimally invasive spine surgery, call our office today to book your consultation at 201-399-3388.

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