Minimally invasive stabilization (MIS) at Laser Spine Institute is performed in an outpatient environment for patients who are in search of a minimally invasive approach to spine fusion.
Minimally invasive stabilization explained by Mark Flood, D.O.
Learn from orthopedic spine surgeon, Mark Flood, D.O., how a minimally invasive stabilization procedure is performed
When compared to open fusion procedures, the advantages of minimally invasive stabilization performed at Laser Spine Institute include:
The Decompression with Interlaminar Stabilization Device helps relieve pain associated with spinal stenosis. Through a small incision, the surgeon first decompresses the affected areas eliminating the source of pain. Once the stenosis has been decompressed, he will insert the coflex® device, which will help to stabilize the spine and maintain the decompression without limiting the patient’s range of motion. The coflex® slides between the lamina, not just the spinous process bones, and opens the foramen 1 to 2 millimeters. Elevating the foramen after a decompression, where the nerves exist, helps prevent future nerve compression in the area. The procedure decompresses both sides of the spine for immediate stabilization, while allowing the spine to maintain its mobility.
Like the other types of minimally invasive surgeries at Laser Spine Institute, anterior cervical discectomy and fusion is performed through a small incision in the front of the neck. The surgeon will make a tunnel to the spine by moving aside muscles so that the bony vertebrae and discs can be seen. With the aid of a fluoroscope (a special X-ray), the surgeon will remove the disc. Next, open disc space is prepared for the bone graft stabilization or the artificial disc replacement. Allograft bone is used to complete the reconstruction and is then stabilized with a small titanium plate. Once that is complete, the incision is closed and the patient will be on their way to postoperative recovery.
A cervical disc replacement is a minimally invasive procedure in which an unhealthy vertebral disc is substituted with a new, artificial disc.
A TLIF procedure allows the surgeon to insert bone graft and spacer into the disc space from a unilateral approach laterally without having to forcefully retract the nerve roots as much, which may reduce injury and scarring around the nerve roots when compared to a PLIF (posterior lumbar interbody fusion) procedure.
An LLIF is a minimally invasive spine surgery that accesses the spine from incisions on the side of the body. This procedure avoids separating the low back muscles, cutting bone, or moving aside blood vessels as required for other spine fusion procedures (PLIF, TLIF, ALIF). Lateral access spine surgery can treat a variety of conditions including herniations, degenerative scoliosis, nerve impingement, certain tumors, and instability and pain resulting from disc degeneration. When treating this source of back and leg pain, most of the disc is removed, a spacer is used to restore proper disc height, and bone grafts are added to fuse the adjacent vertebrae, restoring stability.
An SI joint fusion is a minimally invasive procedure, performed where the sacrum joins with the pelvis. Through the guidance of a fluoroscope, Laser Spine Institute surgeons will perform the procedure through a small incision. Most patients will not lose any range of motion because there is usually limited mobility in the SI joint without the procedure.
Laser Spine Institute surgeons access the spine from the back of the neck during a minimally invasive posterior cervical stabilization. The posterior cervical fusion of two or more vertebrae is performed to treat myelopathy; spinal instability and deformity; or extreme disc herniation.
Less than 3 percent of patients that seek minimally invasive spine procedures at Laser Spine Institute are recommended for a minimally invasive stabilization procedure. General anesthesia is used for minimally invasive stabilization surgery at Laser Spine Institute, but the recovery time following surgery is fairly quick, resulting in the patient being able to leave the facility within a few hours postoperatively. The minimally invasive stabilization technique used on a patient will depend on the specific character of the patient's problem.
After your postoperative care and assessment, you can expect a quicker recovery and return to normal activities after your minimally invasive stabilization procedure at Laser Spine Institute.
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