While mid-back pain is not as common of a problem as low back pain, it can also be an expensive health problem. It also causes restriction of activity in adults. If a spinal fusion is required in the thoracic spine, all too often the procedure necessitates a thoracotomy with potential subsequent complications. Minimally invasive spine surgeries are therefore developed as they reduce operation time, decrease blood loss, shorten hospital stays and have lower infection rates compared to traditional open surgeries.
This minimally invasive spine surgery DTIF was designed and developed specifically for the thoracic spine. The spine is made up of a total of 33 vertebrae: 7 cervical vertebrae located in the neck, followed by 12 thoracic vertebrae in the mid-back, 5 lumbar in the lower back, 5 fused vertebrae in the sacrum and another 4 fused vertebrae called the coccyx (tail bone). This surgery is called the minimally invasive direct thoracic interbody fusion (MIS-DTIF).
The MIS-DTIF has been found to be fast and clinically effective. The surgical time for this procedure was found to be significantly shorter compared to other procedures for the thoracic spine. The duration of stay in the hospital for patients is also shortened considerably and was found to be no more than three days. The complication rate from this procedure is also lower compared to the other procedures. MIS_DTIF has also been found to reduce the overall cost in the health care system compared to traditional open surgeries.
The Inspired MIS-DTIF is the world’s only minimally invasive thoracic spinal surgical procedure that provides absolutely no dissection or anatomical disruption to the ribs and rib anatomy. Whereas widely performed thoracic spinal fusion surgeries require that a patient undergo a permanent removal of at least one rib, The Inspired MIS-DTIF does not.
This procedure can be used to help patients who have pain due to degenerative disk disease (degeneration of the disks between each vertebra that may be due to daily stress or injuries) or herniated disk (a condition which causes the central portion of the disk to bulge out and cause inflammation or compression of a nerve leading to pain). It has been found that this procedure is able to provide significant pain relief to patients after surgery.
Compared to other types of surgery for the thoracic spine, this surgery can be performed by one single surgeon while other procedures require at least 2 surgeons. It is also a more straight-forward procedure compared to certain procedures that is performed on the thoracic spine but the learning curve is still steep. In the study conducted by Inspired Spine, MIS-DTIF has been found to be safe, effective, quick and is ultimately a promising procedure that offers the potential of improved outcomes and cutting costs without compromising on the quality of care.
Not requiring removal or permanent disruption to the muscle, ligament or bones of the thoracic spine provides a procedure with the absolute fastest recovery times. Patients may optimally experience a 45 minute surgical procedure, no overnight stay in the hospital, and a return to work and play at a fraction of the time required by all other spinal fusion procedures. The Inspired MIS-DTIF is the only spinal fusion procedure in the world that can offer such welcoming benefits and maximized relief of pain.
Abbasi H, Abbasi A. Minimally invasive direct thoracic interbody fusion (MIS-DTIF): Technical notes of a single surgeon study. Cureus. 2016; 8(7):e699.