Minimally Invasive Spine Surgery In Hyderabad | Neurosurgery In India

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Minimally Invasive Spine Surgery www.neurosurgerynow.com

Transcript of Minimally Invasive Spine Surgery In Hyderabad | Neurosurgery In India

Minimally Invasive Spine Surgery

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Spinal Conditions Conditions like Spinal stenosis, Sciatica, Spondylolisthesis or Degenerative scoliosis might require Spinal Surgery.

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What is Minimally Invasive Spinal Surgery (MISS) ??

Performing surgery through small incisions, often using miniaturized, high-tech imaging systems to minimize the trauma of surgical exposure.

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It involves less extensive soft tissue injury with maximum or the same therapeutic result.

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A special lighted telescope is inserted through one of these puncture holes projecting a picture on a television screen allowing your surgeon to see the spine. Additional puncture holes are used to allow other specialize surgical instruments to perform the operation.

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Conventional Open SurgeryConventional open surgery has been considered the standard for most spinal disorders.

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Conventional open surgery might give poor result. One of the reason for poor result are thought to be due to access related problems.

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Conventional Open Surgery

The long incisions, extensive detachment of muscle from the spinal processes, and subsequently prolonged wide retraction can be undesirable.

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Why Minimally Invasive surgeryThe primary goal of minimally invasive spinal surgery is to

minimize paraspinal muscle retraction and dissection in the hope that this

will lead to

● reduced blood loss and● Reduced postoperative pain, ● acceleration of the recovery period, ● and improved clinical outcomes.

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What is Paraspinal muscle?

The muscles next to the spine are called the paraspinal muscles. They support the spine and provide the motor for movement of the spine.

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Advantages of MISS● Reduced post-operative pain

● Tiny scars-better cosmesis

● Preservation of posterior motion segments and paraspinal

muscles.

● Shorter hospital stay

● Shorter recovery time and return to normal function

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Further benefits include

● Reduction of operative blood loss,

● Shortening of rehabilitation time,

● Reduced need for analgesics,

● Less chances of infections

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Scope of MISS

● Discectomy

● Decompression for stenosis

● Fusion procedures

● Tumour surgery

● Trauma

● Kyphoplasty/vertebroplasty

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MISS discectomy● It reduces tissue trauma and is less traumatic than standard

open discectomy● Integral visualization and illumination of the operative field

through the endoscope● Allows direct visualization of the nerve root and disc disease● Enables bony decompression.

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Vertebroplasty Vertebroplasty involves a percutaneous injection

of bone cement( PMMA) into the collapsed

vertebrae under fluroscopic imaging guidance to

stabilize fracture.

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KyphoplastyHere,2 balloon tamps are introduced

percutaneously through the pedicles

into collapsed vertebral body.

Balloons are inflated within vertebral

body to reduce the fracture and

kyphosis.

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