Minimally Invasive Spine Surgery (MISS)

This session explains the evolution and principles of minimally invasive spine surgery, a modern advancement designed to reduce tissue damage, postoperative pain, and recovery time compared to traditional open surgery. It describes how MISS techniques utilize small incisions, tubular retractors, endoscopes, and real-time imaging guidance to access spinal structures with minimal disruption to surrounding muscles and soft tissues. The session explains common indications for MISS, including lumbar disc herniation, spinal stenosis, selected fractures, and certain deformities. It also details specific procedures such as endoscopic discectomy, percutaneous pedicle screw fixation, and minimally invasive decompression techniques. The benefits of MISS are discussed extensively, including reduced blood loss, shorter hospital stay, faster functional recovery, lower infection rates, and improved cosmetic outcomes. However, the session also addresses limitations such as steep learning curve for surgeons, requirement of specialized equipment, and limited applicability in complex deformities or multi-level disease. The role of advanced technology such as navigation systems, robotics, and intraoperative imaging is highlighted as a key factor driving the future of spine surgery.

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