Minimally Invasive Spine Surgery (MISS)

Opr. Dr. TOLGAY SATANA

Minimally Invasive Spine Surgery (MISS).

Minimally Invasive Spine Surgery (MISS) is being employed predominantly for the treatment of the most frequent pathologies related with disc herniation and foraminal stenosis. The goals of MISS treatments are decreased surgical corridor with smallest inscision harmless any muscle tissues or bone. Disc spaces directly visualised by 7mm enscope (foraminoscope) throught the foramen. It is completely percutaneous procedure, stichless, bloodless could be performed under local/regional anesthesia in dailly surgery. In addition, if any necessarry instabilities beside disc herniation;  (MISS) surgery is to stabilize the vertebral bones with cages same way.

 

It is not opposed to open spine surgery but minimally invasive surgical approaches can be faster, safer and require less recovery time.

The treatment  reduced trauma to the muscles and soft tissues, protect stability of structure, prevent nucleus pulposus, healthy regerative cells, the compartment homestasis

 

The Surgical benefits fort he patient care;

 

  • Better cosmetic results from smaller skin incisions (stichless surgery 6mm)

  • Bloodless <5cc 

  • Reduced risk of muscle damage

  • The cutting of the muscle is not required

  • Reduced risk of infection and postoperative pain

  • Faster recovery

  • limited rehabilitation required

  • Less required  pain medications after surgery

  • Could be performed as outpatient procedures under local anesthesia in case of hight risk potential of elder patients

  • Visiual digital  assessment of function, recording system of surgery.

 

Conditions Treated by Percutaneus Endoscopic Spine Procedures

 

  • Degenerative disc disease

  • Herniated disc

  • Lumbar spinal stenosis

  • Discitis and  infections

  • Spinal instability including spondylolisthesis

  • Vertebral compression fractures

  • Biopsy and diagnosis of Spinal tumors

 

The MISS  would not be defined “facilitated by utilizing a small incision” It is harmless, bloodless..Instead must be call LESS INVASIVE SURGERY” Minimal invasive spine surgery could be lead cellular therapies.

Stem cell research is ongoing for cervical disc treatment . Finally we have to discuss new terminology  of miss treatment, most of treatment of methods will call some other way simply like “herniotomy versus misnomer of “endoscopic discectomy.