Dr Ashish Jain in Lucknow


What is minimally invasive spine surgery?

Minimally invasive spine surgery (MISS) is a new and exciting development in the field of spinal surgery. MISS represents a significant advance in the surgical treatment of spine conditions, offering patients many potential benefits. These include smaller incisions, less tissue damage, minimal blood loss, shorter hospital stays, and quicker recoveries.

MISS techniques are typically performed using small incisions and specialized instruments. In some cases, MISS can be performed using an endoscope (a small camera) or other minimally invasive tools. This type of surgery requires advanced training and experience on the part of the surgeon.

At The Spine Institute Center for Spinal Restoration, our team of highly skilled surgeons is experienced in performing MISS procedures. We offer cutting-edge treatments for a wide range of spine conditions, including herniated discs, degenerative disc disease, scoliosis, spondylolisthesis, and more. If you are considering surgery for your spine condition, we encourage you to contact us to learn more about your treatment options.

Types of Minimally Invasive Spine Surgery

Minimally invasive spine surgery (MISS) is a type of surgery that minimizes the amount of tissue damage by using small incisions and blunt dissection. MISS techniques can be used for a variety of surgeries, including decompression, fusion, and stabilization procedures.

The advantages of MISS over traditional open surgery include less pain, shorter hospital stays, fewer complications, and quicker recoveries. However, MISS is not appropriate for all types of spine surgery and patients should discuss the risks and benefits with their surgeon prior to scheduling surgery.

Preparation for Minimally Invasive Spine Surgery

Preparation for minimally invasive spine surgery will vary depending on the specific procedure being performed. However, there are some general steps that will be taken in order to ensure the safety and success of the surgery.

Before the surgery, the patient will meet with the surgeon to discuss the details of the procedure. The surgeon will explain what will be done and answer any questions that the patient may have.

The patient will also undergo a pre-operative physical examination. This is to make sure that they are healthy enough to undergo surgery and to identify any potential risks.

Once everything has been finalized, the patient will be given instructions on how to prepare for their surgery. This may include fasting for a period of time before the surgery, as well as avoiding certain medications or supplements.

It is important that the patient follows all of these instructions carefully in order to minimize any complications during or after their surgery.

Recovery from Minimally Invasive Spine Surgery

Recovery from minimally invasive spine surgery (MISS) is typically quicker and less painful than traditional open spine surgery. Most patients are able to return home the same day or the next day after MISS, and many report feeling relieved of their pain within a few days or weeks. Physical therapy may be required to help patients regain their strength and mobility, but most are able to return to their normal activities within a few months.

Risks and Complications of Minimally Invasive Spine Surgery

Undergoing any surgery comes with some inherent risks and complications. The good news is that minimally invasive spine surgery has a low rate of complications when compared to traditional open spine surgery.

However, as with any surgery, there are still some risks and potential complications associated with minimally invasive spine surgery. These can include:

  • Infection
  • Bleeding or blood loss
  • Nerve damage
  • Spinal cord injury
  • Adverse reaction to anesthesia
  • Blood clots
  • Stroke

While the risks and complications associated with minimally invasive spine surgery are relatively low, it’s important to discuss them with your surgeon prior to undergoing the procedure. This will help ensure that you are fully aware of the risks and potential complications involved.


Minimally invasive spine surgery is a revolutionary procedure that can help reduce pain and improve mobility while significantly reducing recovery time. It has become increasingly popular in recent years as a safe alternative to traditional open surgery, with many patients reporting improved quality of life after their procedures. The technique is constantly evolving, so it’s important to discuss your options with your doctor before deciding on the best course of treatment for you. With the right surgeon and plan of action, minimally invasive spine surgery could be the answer to eliminating pain and regaining movement in your back or neck.

Minimal invasive spine surgery deals with operating through small incisions. It means less blood loss, lee pain and early discharge for the patient. It usually involves more refined instruments , microscope and extensive expertise of surgery in such manner as learning such skills require good amount of time.

MISS helps in an even earlier recovery in spine patients. Patients are not required to be bed ridden after surgery and can stand up or walk and resume their activities after surgery. Since the scar is smaller it also helps in better cosmesis. Blood loss is extremely low and usually no blood transfusion is required. However in long run , it is functionally same and not superior or inferior to open surgery . In patients who are very muscular , obese or previously operated on spine , MISS is more favourable.

Microscopic discectomy / endoscopic discectomy for disc prolapse, decompression for lumbar canal stenosis, minimal invasive TLIF are few common conditions which can be dealt with minimal invasive approach.

Complication rate is same as that of open surgery.

It is slightly costlier than open surgery. But the patients are discharged early which can save the cost in that perspective. That however is the only disadvantage of MISS , if any.

MISS is a technically demanding skill which requires multiple years of learning and practise and working in dedicated MISS units. Most of the surgeons are not familiar or expert in MISS and hence open surgery is preferred. However mostly , even with surgeons such as us who are routinely doing spine surgery , MISS is an option , choice of which rests more with the patient.
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