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“A small incision can make a BIG difference�

Minimally Invasive Spine Surgery

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.

? 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

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.

Scar after Open surgery

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.

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.

Neurosurgeon Dr Raj Kumar

Minimally Invasive Spine Surgeon Dr Ajay Popli

Orthopedic Surgeon Dr U.K. Sadhoo Dr Hemant Gupta Dr Girish Chhabra Dr Akhil Kulshrestha

Location Map

For Appointments Contact: Pushpanjali Crosslay Hospital W-3, Sector-1, Vaishali, Ghaziabad-201009, UP, India Tel: +91 120 4173000, 4188000 Email:

Minimally Invasive Spine Surgery  

Minimally Invasive Spine Surgery “A small incision can make a BIG difference” Minimally invasive procedures are performed through a tiny inc...