NEUROSURGERY ARTICLES
MINIMALLY INVASIVE SPINE SURGERY
by Laura Paré, M.D.
Minimally invasive surgery is gaining popularity among both patients
and surgeons in many different surgical fields. Spinal surgery is no
exception and many of the techniques now used in minimally invasive
spine surgery have been adapted from other surgical fields.
Minimally invasive spinal surgery can be defined as surgical techniques
designed to accomplish all the objectives of the surgical spinal
procedure while disrupting normal tissues as little as possible.
The development of minimally invasive spinal surgery has been
greatly influenced and made possible by recent significant advances
in technology. Advances in endoscopy using thin scopes that can be
placed into body cavities, and surgical navigation, which gives the
ability to precisely locate an anatomic structure while it is still covered
by skin, muscle, or bone, have accelerated the development of
minimally invasive techniques in the spine. There are many spinal
surgeries today that can be performed with minimally invasive, percutaneous
techniques, passing instruments through the skin with
tiny incisions. However, not all spine problems can be helped with
minimally invasive techniques and sometimes the traditional, open
surgical techniques are superior for certain disorders. The following
spinal procedures can be performed with minimally invasive techniques
at UCI Medical Center: lumbar discectomy, lumbar fusion,
kyphoplasty, vertebroplasty, cervical discectomy, cervical foraminotomy,
lumbar interbody fusion, and stereotactic spinal radiosurgery.
Many patients prefer minimally invasive surgeries because there is
less pain, faster recovery time, and smaller scars.