![]() (Risk of paralysis for major spinal reconstructions is about 1 in 10,000.) Injury to the nerves or spinal cord resulting in pain or even paralysis.Blood loss during surgery requiring a transfusion.Blood clots in your legs (deep vein thrombosis) that may travel to the lungs (pulmonary embolus).When the retractors are removed, your muscles return to their original position.Īfter surgery, your incisions are closed with sutures (stitches) glue or staples and covered with surgical tape or small bandages.Īll surgeries have risks, even minimally invasive procedures.Ĭommon general risks of spine surgery include: The tubular retractors hold your muscles away from the surgery site during the surgery. Spinal bone and tissue removed during surgery are also withdrawn through these same retractors. Instruments are inserted through one or more retractors. Retractors create small tunnels of work space from the opening in your skin to the targeted area on your spine. Tubular retractors are thin, hollow tubes. Small surgical instruments are passed through the endoscope or through the other half-inch incisions through which tubular retractors have been placed. An endoscope is a thin, telescope-like instrument that is attached to a tiny video camera – smaller than a dime – which projects an internal view of your spine onto television screens in the operating room. A fluoroscope is a portable X-ray machine that provides real-time images of your spine during the operation. To determine where to make incisions, your surgeon may use a fluoroscope or an endoscope. What they share in common is that your surgeon makes one or more small incisions through your skin – made through your back, chest or abdomen – instead of one long incision. There are several minimally invasive techniques. Anesthesia may be regional (to numb an area of your spine) or general (you will sleep through your surgery). What happens during minimally invasive spine surgery? Your healthcare provider will tell you what you can eat or drink the night before your surgery. You may be given antibiotics to take before and after your surgery. You surgeon will order X-rays or magnetic resonance imaging (MRI) tests of your spine. ![]() These may react with anesthetics or other medications you may be given. You may need to stop taking non-essential medications and herbal remedies. Make sure you and your surgical team review all the products you take a few weeks before the date of your surgery.Exercise on a regular basis to keep your body and muscles in shape to shorten your recovery time.There are medications and programs that can help you quit. However, before surgery is even considered, your spine care team may decide, during your evaluation, that there are other treatment options that should be tried first before surgery is considered. Each surgery must be customized for the patient and the technique. There are specific indications for minimally invasive surgery – when it works well and when it shouldn’t be done from a safety stand point. Not every patient is a candidate for a minimally invasive approach. If I need spine surgery, am I a candidate for minimally invasive surgery? Repair and stabilization of vertebral compression fractures.Deformity corrections, such as for scoliosis and kyphosis.Spinal fusion, which is often performed on degenerative or “slipped” disks.Many types of spine surgeries can be performed using a minimally invasive approach. What types of spine surgeries can be performed using a minimally invasive approach? Working through smaller incisions causes much less damage to muscles and soft tissues than a single long incision. A small metal tube or endoscope is placed through the incision to allow the surgeon to work through a smaller operative field. In minimally invasive surgery, your surgeon makes one or more small incisions (about ½ inch each) through your skin. This can result in more muscle damage and pain after surgery. ![]() To help your surgeon clearly see the surgical site, a relatively large amount of muscle and surrounding soft tissue are spread or pulled out of the way or removed from bone. In a “traditional” open surgery approach, your surgeon makes a single long incision (cut) through your skin. Minimally invasive spine surgery is a method of performing surgery. What is minimally invasive spine surgery?
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