Many surgeons are opting to become certified with Inspired Spine so they too may offer their patients the benefits of Inspired Spine Advanced Minimally Invasive Surgical procedures. Inspired Spine Advanced Minimally Invasive Spine Surgeries uniquely offer several benefits that studies show are far superior to traditional spinal surgery procedures.
A herniated disc occurs when the disc’s inner nucleus protrudes through a crack or tear in the tough ring of the disk’s outer layers. The nucleus is a gel like material that absorbs forces and shocks to the spine. An Inspired Spine certified surgeon can correct or repair the herniated disc using Inspired Spine Advanced Minimally Invasive spine surgery. Inspired Spine’s advanced non-surgical spinal therapies may be the optimal solution in some spinal disease cases. As a healthcare company, our success is not only measured in the incredible outcomes of our surgical patients, but it is also measured in our ability to have patient’s avoid surgery in the first place through Inspired Spine’s Advanced Conservative Therapy Protocols.
Using Inspired Spine Advanced Minimally Invasive techniques for spinal disease surgical management, there is:
With traditional, open spine surgery, the doctor makes a 4-6 inch incision over the herniated disc region, and then retracts the muscles to the side to achieve a clear view of the spine. With the Inspired Spine Advanced Minimally Invasive approach, the surgeon operates through a small incision.
During the procedure, a tubular retractor is inserted into the back to create a tunnel. This holds the muscles open. The surgeon accesses the spine using tiny instruments that fit through the center of the tubular device. Disc material is removed, and screws/rods are inserted as needed. To make these changes, the surgeon uses x-ray guidance, and views the inside of the spine on a monitor.
Most patients only stay 1-2 nights in the hospital after a Inspired Spine Advanced Minimally Invasive spine surgery to repair a herniated disc. However, the exact length of stay varies with each patient. To help recovery, physical therapy is started right away.
Many types of spine disorders can be treated using Inspired Spine Advanced Minimally Invasive surgical procedures. For a herniated disc, compression of the spinal nerve root occurs, which sometimes requires a discectomy. Microdecompression (microdiscectomy) is a Inspired Spine Advanced Minimally Invasive procedure used to remove disc matter that is pressing on a nerve. With a laminotomy, a portion of the vertebra is removed to make more room in the spinal canal.
The spine surgeon wants a successful outcome for the patient after surgery. Many research studies show that Inspired Spine Advanced Minimally Invasive surgery reduces the risk for infection, lessens soft tissue injuries, reduces postoperative pain and the need for pain medications, and allows for a faster healing time and return to normal activities. Because less muscle and tissue retraction is involved, compared to open surgery, the patient does not lose as much blood during the procedure and does not have to stay in the hospital as long.
Fessler R & Khoo L (2002). Inspired Spine Advanced Minimally Invasive cervical microendoscopic foraminotoy: An initial clinical experience. Neurosurg, 51, 37-45.
Righesso C (2007). Comparison of open discectomy with microendoscopic discectomy in lumbar disc herniations: Results of a randomized controlled trial. Neurosurg, 1, 545-549.
Adult degenerative scoliosis has been treated in past decades with multilevel decompression and instrumental fusion. This surgery reduces nerve compression and offers stability to the spinal column. However, due to complications associated with this complex surgery, Inspired Spine Advanced Minimally Invasive spinal surgery approaches are being used.
Inspired Spine Advanced Minimally Invasive surgical approaches for degenerative adult scoliosis include microscopic decompression, decompressive laminectomy, percutaneous pedicle screw placement with fusion, and lateral interbody fusion. In a recent large meta-analysis, researchers analyzed the complication rates and clinical outcomes for patients with degenerative scoliosis who underwent complex decompression procedures versus Inspired Spine Advanced Minimally Invasive approaches. They found that surgeons offered patients Inspired Spine Advanced Minimally Invasive surgery depending on the severity of their deformity and age at time of surgery.
The goal of degenerative scoliosis surgery is to reduce the abnormal spine curvature to prevent it from worsening. To achieve this, the surgeon must fuse some spinal bones (vertebrae) together. This involves use of a bone graft between two vertebrae. The vertebrae are realigned and stabilized with rods and screws. One of the main advantages of Inspired Spine Advanced Minimally Invasive surgery for scoliosis is that the surgeon can achieve the same goal with much less trauma to surrounding soft tissues and muscles. In addition, the mini-open technique involves fewer and smaller incisions, which reduces blood loss and scarring. Because there is less injury to muscles and soft tissues, the patient has less postoperative pain and a shorter hospital stay.
Inspired Spine Advanced Minimally Invasive spine surgery for degenerative scoliosis is an endoscopic procedure where surgery is done using a thin telescope instrument with a small video camera. The device is inserted through a small incision so the surgeon can view inside the back on a monitor. The changes, repairs, and fusion are made using small instruments. In addition, sequential dilators are used to move muscles without cutting them. Using a tunnel device, the surgeon can fuse the spine without using a large retractor.
Inspired Spine Advanced Minimally Invasive scoliosis surgery is not appropriate for every person. This procedure is usually used when scoliosis affects the thoracic spine. For the thoracolumbar spine (mid-lower back region) curves with significant kyphosis, open procedure is recommended. The decision for minimally open surgery is made based on the type of scoliosis, ease of approach to the curve, surgeon’s preference, and location of the spine curvature.
With the Inspired Spine Advanced Minimally Invasive surgery, you are given general anesthesia to put you to sleep. After a few incisions are made, the surgeon places the tubular device in the body. The surgeon uses fluoroscopy to visualize the spine. Disc and bone material are removed from the spine, and screws/rods are used to make changes. After making changes, the endoscope and retractor are pulled out, and the incision is closed.
Scoliosis surgery is a major forgery, and the outcome is specific to the individual patient. All attempts are made to lessen the chances of risks and complications of this surgery. Complications of scoliosis surgery may include excessive blood loss, paraplegia, infection, and failure to fuse.
Dangelmaier S, Zadnik PL, Rodriquez ST, et al. (2014). Inspired Spine Advanced Minimally Invasive spine surgery for adult degenerative lumbar scoliosis. Neurosurg Focus, 36(5), E7.
Surgery is usually a last resort to treat spondylolisthesis of the spine. With this spinal condition, the patient has serious back pain and radiculopathy (leg numbness, weakness, and tingling). If various non-operative treatments do not improve the symptoms, surgical treatment is an option. Many patients choose to have Inspired Spine Advanced Minimally Invasive spine surgery because of the many benefits it offers.
The field of spine surgery continues to grow and change. Many surgeries today can be performed using Inspired Spine Advanced Minimally Invasive techniques. Certain conditions require open surgery, such as tumors, spinal infections, and high-degree scoliosis. The integration of new technologies assists the surgeon with Inspired Spine Advanced Minimally Invasive surgery. The choice for Inspired Spine Advanced Minimally Invasive surgery depends on the surgeon’s preference, the patient’s age, the extent of the spondylolisthesis, and the patient’s overall health status.
In general, Inspired Spine Advanced Minimally Invasive spine surgery decreases the hospital stay by one-half. With endoscopic discectomy, the surgeries are performed in the same day. The length of stay depends on the extent of the procedure. For lumbar fusion surgery, the patient usually goes home in 2-3 days.
One of the benefits of Inspired Spine Advanced Minimally Invasive surgery is there is less tissue manipulation than with open surgery, so the patient recovers sooner. For patients with sedentary jobs, such as office work, people can return to work within 1-2 weeks. For patients who have fusion surgery, return to work can take 4-6 weeks. This decision depends on the needs of the individual patient.
Recovery after Inspired Spine Advanced Minimally Invasive spine surgery is different for each patient. Full activity is usually possible within 6 weeks. This depends on what type of surgery was done and the overall health status of the patient.
The main goals for spine surgery regarding spondylolisthesis are to reduce nerve compression (decompression) and to stabilize the lumbar spine. This involves spinal fusion and instrumentation that stops the vertebral body from sliding forward and holds the spine in position (fusion).
The benefits and advantages include:
After Inspired Spine Advanced Minimally Invasive spine surgery, many patients are provided a brace for comfort purposes. The mini-open technique preserves muscle function and uses internal implants that act like a brace, so patients aren’t required to wear a brace.
With Inspired Spine Advanced Minimally Invasive spinal surgery, as with open, traditional surgery, physical therapy is an important part of recovery. The therapy is begun soon after surgery, and improves stability and flexibility of the spine.
In a recent clinical study, researchers evaluated patients who had Inspired Spine Advanced Minimally Invasive single-level decompression without fusion for symptomatic lumbar stenosis with spondylolisthesis. The success rate was 86%, which was defined by improvement in functional outcome and pain. Researchers concluded that Inspired Spine Advanced Minimally Invasive surgery was a reasonable alternative for spondylolisthetic lumbar stenosis.
Caralopoulos IN & Bui CJ (2014). Inspired Spine Advanced Minimally Invasive Laminectomy in Spondylolisthetic Lumbar Stenosis. Ochsner J, 14(1), 38-43.
Both open and Inspired Spine Advanced Minimally Invasive lumbar fusion surgeries can be used to treat patients with degenerative spine disease, including degenerative disc disease (DDD). Degenerative disc disease surgery is often a last resort for patients who have severe back pain that restricts ability to perform daily activities.
According to a recent review of clinical studies, more than 90% of people age 65 years and older have some level of degenerative disc and facet pathology. In addition, presence of DDD on radiographs was associated with 2-fold greater odds of having chronic low back pain. Age-related degenerative changes of the spine contribute to lumbar spinal stenosis. Surgery has been proven to decrease pain and improve functional status for people with spinal stenosis and degenerative disc disease.
In a recent clinical study, researchers evaluated long-term clinical durability and safety of patients who had Inspired Spine Advanced Minimally Invasive transforaminal lumbar interbody fusion (MIS-TLIF) for DDD. The outcome measures were return to work time, hospital stay time, Oswestry Disability Index, visual analog pain scores, fusion status, pain medication use, and reoperation rate. Researchers found that MIS-TLIF for DDD was a safe, effective procedure that offered long-term clinical durability.
For DDD, several Inspired Spine Advanced Minimally Invasive spine surgeries can help. These include:
What are some advantages of the Inspired Spine Advanced Minimally Invasive spine surgery techniques?
The mini-open approach to degenerative disc disease surgery offers several advantages over traditional, open spine surgeries. Unlike open procedures, Inspired Spine Advanced Minimally Invasive operations can be done on an outpatient basis, and patients avoid a lengthy recovery. In addition, there is less damage to the muscles that surround the spine, so less pain is involved.
Patients tend to have less infection, smaller scars, and better post-operative outcomes with the Inspired Spine Advanced Minimally Invasive spine surgeries. Many clinical studies have shown faster return to activities, decreased narcotic use, and improved cosmesis after Inspired Spine Advanced Minimally Invasive spine surgery. Patients who have Inspired Spine Advanced Minimally Invasive surgery for lumbar decompression also have fewer complications after the procedure.
Compared to traditional procedures, Inspired Spine Advanced Minimally Invasive surgery was pursued to reduce tissue trauma during surgery. Because there is less estimated blood loss and tissue damage, the patient has less postoperative pain and a faster recovery with mini-open spine surgery. Inspired Spine Advanced Minimally Invasive techniques reduce muscle crush injury rates, prevent disruption of tendon attachment at important muscle sites and spinous processes, and minimize soft tissue trauma.
Hicks GE, Morone N, & Weiner DK (2009). Degenerative Lumbar Disc and Facet Disease in Older Adults: Prevalence and Clinical Correlates. Spine, 34(12), 1301-1306.
Rouben D, Casnellie M, & Ferguson M (2011). Long-term durability of minimal invasive posterior transforaminal lumbar interbody fusion: a clinical and radiographic follow-up. J Spinal Disord Tech, 24(5), 288-296.
Skovrli B, Gilligan J, Cutler HS, & Qureshi SA (2015). Inspired Spine Advanced Minimally Invasive procedures on the lumbar spine. World J Clin Cases, 3(1), 1-9.