Minimally Invasive Surgical Procedures for Spine Pain Management
Spine surgery has been rapidly evolving to deal with more complex pathology as well as address spine disease in a more elegant manner. Minimally invasive approaches are an example of this evolution. They have undergone many iterations in the last several decades to hone improvements in efficacy and tissue-sparing techniques. For the modern minimally invasive spine (MIS) surgeon, a tubular retractor system is the workhorse for most decompressive and stabilization procedure. Through these narrow channels, decompressive procedures as straight forward as a microdiscectomy can be performed as well as single- and multiple-level laminectomies through the same skin incision. When coupled with posterior instrumentation, constructs with interbody cage delivery for circumferential fusions can be employed. These techniques have demonstrated outcomes similar to their open counterparts with less local tissue injury, less blood loss, and earlier mobilization and discharge, along with having similar costs.
KeywordsMinimally invasive Spine surgery TLIF MIS-TLIF LLIF Microdiscectomy Laminectomy Interbody fusion Percutaneous
- 1.Burman MS. Myeloscopy or the direct visualization of spinal cord. J Bone Joint Surg. 1931;13:695–6.Google Scholar
- 3.Ooi Y, Satoh Y, Morisaki N. Myeloscopy: a preliminary report. J Jpn Orthop Assoc. 1973;47:619–27.Google Scholar
- 9.Foley KT, Smith MM. Microendoscopic discectomy. Tech Neurosurg. 1997;3:301–7.Google Scholar
- 13.Alimi M, Hofstetter CP, Torres-Campa JM, Navarro-Ramirez R, Cong GT, Njoku I Jr, Härtl R. Unilateral tubular approach for bilateral laminotomy: effect on ipsilateral and contralateral buttock and leg pain. Eur Spine J. 2017;26(2):389–96. https://doi.org/10.1007/s00586-016-4594-1.CrossRefPubMedGoogle Scholar