TREATMENT OVERVIEW
Minimally Invasive Spinal Fusion (MISF) is an advanced surgical procedure used to stabilize the spine by fusing two or more vertebrae. Unlike traditional open surgery, this technique uses small incisions and specialized tools to access the spine, resulting in less muscle damage, reduced pain, and a significantly faster recovery.
PROCEDURE DETAILS
You will be under general anesthesia. Your surgeon makes one or more small incisions (about 1-2 inches) near the affected spinal level. Using a device called a tubular retractor, the surgeon gently parts the muscles to create a small tunnel to the spine without cutting them.
Guided by real-time X-ray (fluoroscopy), the surgeon removes the damaged disc material to decompress any pinched nerves. A bone graft or a spacer (cage) packed with bone graft is inserted into the empty disc space.
Finally, the surgeon places screws and rods to stabilize the vertebrae, holding them in place while the bone graft heals and "fuses" the two bones into one solid piece over several months. The instruments are then removed, and the small incisions are closed.
TREATMENT ADVANTAGES
Compared to traditional open fusion, the MIS approach offers significant advantages by preserving muscle and soft tissue.
Minimal scarring and less damage to surrounding skin and tissue compared to a large single incision.
Muscles are gently spread apart rather than being cut or stripped from the bone, leading to less post-operative pain.
Most patients can go home in 1-3 days, compared to 3-5 days for traditional open fusion.
Less muscle damage allows for a quicker and less painful rehabilitation, speeding your return to daily activities.
The smaller incisions and minimal tissue disruption significantly reduce blood loss during the procedure.
Advanced imaging and navigation tools provide your surgeon with a high-definition view for precise hardware placement.
IMPORTANT INFORMATION
Spinal fusion is a major surgical procedure. While the MIS technique reduces some risks, all surgeries have potential complications. Your surgeon will discuss these with you in detail.
Important: Your surgeon will review your specific condition, medical history, and imaging to determine if you are a candidate and to discuss your personal risk profile.
PREPARATION GUIDE
Preparing properly for your surgery is a critical step toward a smooth procedure and successful recovery.
You will need pre-operative tests (blood work, EKG) and clearance from your primary care doctor to ensure you are fit for surgery.
Stop taking blood thinners (Aspirin, Plavix), NSAIDs (Ibuprofen), and certain supplements 1-2 weeks before surgery as instructed.
Nicotine severely inhibits bone fusion. You must stop smoking/vaping weeks before and after surgery for a successful outcome.
You will need a ride home and help with meals, errands, and personal care for the first 1-2 weeks after surgery.
RECOVERY GUIDE
Recovery is a gradual process that requires patience. The goal is a solid fusion and a return to an active life.
The focus is on pain control and early mobility. A physical therapist will help you get out of bed, stand, and walk the day of or after surgery.
Focus on rest and short, frequent walks. You must follow "BLT" precautions: No Bending, Lifting (over 5-10 lbs), or Twisting.
After your surgeon confirms healing on X-rays, you will likely begin formal physical therapy to rebuild core strength, flexibility, and endurance.
The bone fusion process continues for 6-12 months. Your surgeon will gradually clear you for more strenuous activities as the fusion becomes solid.
Please don't hesitate to reach out and request an appointment. We look forward to meeting with you, addressing your concerns, and working together to enhance your quality of life.