Minimally Invasive Surgery

Cary Orthopaedic Spine SurgeonsCary Orthopaedic Spine Center is the region’s leading spine specialist, offering comprehensive surgical solutions when all conservative, non-operative measures have failed to alleviate your neck or back problem.

Minimally Invasive Spine Surgery (MISS)

In the past, spine surgery meant “open surgery,” meaning the area was opened with a long incision, muscles and other tissue were manipulated to reach the spine, and lengthy recovery times usually followed. Thanks to advancements in orthopaedic medicine, Cary Orthopaedic Spine Center can now often treat back and neck conditions with minimally invasive spine surgery (MISS).

With a small incision, our surgeons are able to perform spinal fusions and decompressions without causing damage to the muscles around the spine. This results in significantly less pain after surgery and a much faster recovery period. Most patients can return to normal activities in a few days to a few weeks.

How It Works

Minimally invasive procedures are performed using a tool called an endoscope, which is a thin tube with a tiny video camera on the end. The “scope” is inserted through a small portal and is guided to the problem area.

Muscles are then expanded apart, rather than incised, and the operation is performed with minimal injury to the surrounding soft tissues. A tiny video camera on the end of the endoscope projects large-scale images of the spine onto a video screen, helping the surgeon to visualize quite easily.

Depending on the specific diagnosis and surgical technique used, MISS procedures may be performed either on an inpatient or outpatient basis.

Types of Minimally Invasive Spine Surgery
  • Anterior Cervical Discectomy and Fusion (Intervertebral Spacer)
  • Anterior Lumbar Interbody Fusion (with bone graft and pedicle screws)
  • AxiaLIF® (Axial Lumbar Interbody Fusion)
  • Cervical Laminoplasty
  • Cervical Posterior Foraminotomy
  • Disc Replacement
  • Intraoperative Monitoring (IOM) of the Nerves
  • Kyphoplasty
  • Laminectomy
  • Lumbar Disc Microsurgery
  • Lumbar Inter-Body Fusion (IBF)
  • Lumbar Pedicle Screw Fixation (CD HORIZON® SEXTANT™)
  • Microdiscectomy
  • Minimally-Invasive TLIF (Transforaminal Lumbar Interbody Fusion)
  • Spinal Cord Stimulation
  • Spinal Fusion
  • X-STOP (spinal stenosis)
Benefits of Minimally Invasive Spine Surgery

Traditional spine surgery involves more invasive techniques to accomplish what minimally invasive spine surgery now offers. Utilizing a much smaller incision is only one advantage. Traditional spine surgery requires more separation or retraction of the muscles and surrounding soft tissues to insert instrumentation and any hardware necessary to address the problem.

The endoscope, through minimal invasion, avoids this additional trauma. As a result, excessive blood loss, post operative pain and scarring are significantly lessened.

Additional benefits of minimally invasive spine surgery are that patients also require much less anesthesia, and hospital stays are dramatically shorter. While open spine surgery requires four to five days of inpatient hospitalization, many patients are able to go home the same day after endoscopic spine surgery.

Traditional Open Spinal Surgery

As minimally invasive spine surgery has evolved, our physicians have stayed on the leading edge to provide our patients with the best care possible. Cary Orthopaedics’ doctors Sameer Mathur and Nael Shanti even hold FDA patents for progressive spinal fusion technologies. Today only about 40% of our neck and back cases involve open surgery.

Still, there are times when open surgery is the more appropriate approach to treating a spine problem, like in the case of a surgery revision or large tumor. When open surgery is necessary, our patients can trust the skilled surgeons at Cary Orthopaedic Spine Center.

For more information on how the specialists at Cary Orthopaedics can help you with minimally invasive surgery, contact us today for an appointment!

When seeking a leading orthopedic spine practice in North Carolina, Cary Orthopaedics offers comprehensive spine care for patients in Raleigh, Garner, Cary, Apex, Morrisville, Holly Springs, Fuquay-Varina, Clayton, Chapel Hill, Pittsboro and beyond.