The concept of spine surgery has been a part of our medical history for about 5,000 years, with evidence dating back to Egypt around 3,000 BC, as seen in various mummies. Hippocrates laid the foundation for early spine surgery through his writings and is considered as the father of spine surgery. In the 7th century, Paul of Aegina is credited with performing the first operative spine surgery. Over the last five decades, advancements in surgical tools, digital fluoroscopy, image guidance, and endoscopy have made spine surgery more feasible.
The term 'minimally invasive spine surgery', or MISS, lacks a precise definition but generally refers to surgery that avoids severe surgical invasion. It marks a departure from older methods that necessitated a 5–6-inch incision even for minor disc problems. Patients undergoing MISS typically experience a recovery period of about a month.
● The medical professional or team will start by
injecting a particular anesthesia, numbing the part of the body so that the
patient does not feel any pain.
● Afterward, the surgeon might take X-ray
imagesof the part of the spine that needs surgery, a process known as
fluoroscopy. This helps the surgeon see that part clearly.
●
The surgeon then begins the operation by
making an incision in the skin just above that portion.
●
The underlying tissue of that area is pushed
with the help of a surgical instrument. Additionally, this device inserts a
tube (which remains inside after removal), creating a channel down to the
spine.
●
Through this tube, smaller operating tools,
cameras, and lights are utilized. In spine surgery, this is known as a tubular
retractor.
● Following these steps, the surgeon performs
all the necessary procedure and provide the required treatment to the affected
area.
● Medical devices such as intervertebral
spacers, rods, pedicle screws, facet screws, etc., are then inserted through
the retractor.
● After this procedure, the tube is removed from the treated area, and then the incision is stitched, stapled, or glued.
This type of surgery finds usage in:
● Anterior cervical discectomy
● Artificial disc replacement or total
disc replacement
● Epidural lysis of adhesions
● Laminectomy
● Laminotomy
● OLLIF (Oblique lateral lumbar inter
body fusion)
● Percutaneous vertebroplasty, a.k.a.
Kyphoplasty
● Endoscopic Discectomy
● Percutaneous Stenoscopic Lumbar Decompression
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Conclusion
We've gained
insights into the dynamic field of surgery, marked by constant advancements.
Specifically, we've delved into the sphere of minimally invasive spine surgery,
witnessing its growing significance. Understanding the intricacies of this
procedure has broadened our knowledge. Choosing DigiNerve ensures access to
comprehensive spine
surgery lectures, MCQs, and notes.
If you're seeking a well-rounded online
course to study spine surgery, DigiNerve is the ideal destination for
your educational journey.
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