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2025-01-17
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6 Key Things to Know Before Modern Minimally Invasive Spine Surgery

What is Minimally Invasive Spine Surgery?

According to Dr. Chien-Chun Chang, minimally invasive spine surgery (MISS) is an advanced surgical technique that integrates 3D computer navigation and endoscopic technology to treat spinal disorders with minimal incisions. Unlike traditional open surgery, MISS is performed through small incisions (8mm) while preserving the surrounding muscles and soft tissues, reducing blood loss, shortening recovery time, and lowering surgical risks.

MISS is commonly used for conditions such as herniated discs, spinal stenosis, and spondylolisthesis. It is also highly effective in complex spinal procedures, including revision spine surgery and scoliosis correction. With real-time imaging navigation, MISS ensures greater surgical precision, improved outcomes, and a lower risk of complications.

 

Six Essential Preoperative Considerations

Before undergoing minimally invasive spine surgery, Dr. Chang, Chien-Chun recommends understanding these six key factors:

1. Indications for Minimally Invasive Spine Surgery

MISS is suitable for a range of spinal disorders, including herniated discs, spondylolisthesis, spinal fractures, and spinal tumors. Many patients can benefit from a lower-risk procedure with faster recovery compared to traditional surgery. However, a detailed discussion with your doctor is essential to determine the best treatment option for your condition.

2. Advantages of MISS

The primary advantage of MISS is preserving the spine’s natural structure, avoiding unnecessary damage to ligaments and soft tissues. Additionally, reduced blood loss, lower infection risk, and shorter recovery times make MISS a safer and more comfortable surgical option for patients.

3. Types of Minimally Invasive Spine Surgery

Different types of MISS are available, including:

  • 3D Computer-Navigated Spinal Fusion Surgery
  • Endoscopic Spine Surgery

Each technique is designed for specific spinal conditions. Your specialist will help determine the most appropriate surgical approach for your individual case.

4. Surgical Risks and Complications

Although MISS is considered safer than traditional open surgery, it still carries some risks, including nerve injury and infection. Choosing a highly experienced surgical team can significantly reduce complications and ensure optimal treatment safety.

5. Postoperative Recovery and Rehabilitation

Patients undergoing MISS typically recover faster than those who undergo traditional spinal surgery. For instance, endoscopic spine surgery patients can be discharged within one to two days, while other MISS procedures require hospitalization for one to five days.

Due to the minimal soft tissue damage, many MISS patients do not require extensive rehabilitation and can resume normal activities much sooner.

6. The Use of Bracing After Surgery

The need for postoperative bracing depends on the type of surgery and the patient’s condition.

  • Patients with spinal fixation (screw implantation) are advised to wear a rigid brace for three months to support spinal stability.
  • For milder cases, a soft lumbar support may be sufficient.

Discussing the most suitable bracing option with your doctor is crucial to ensure proper recovery.

 

About the Minimally Invasive Spine and Joint Center

The Minimally Invasive Spine and Joint Center is led by Dr. Dr. Chang, Chien-Chun and a highly specialized surgical team. With over a decade of clinical experience and more than 1,700 successful minimally invasive spine surgeries, our center is particularly renowned for handling complex spinal procedures, including scoliosis correction and revision spine surgery.

Our team is dedicated to integrating the most advanced medical technologies, such as 3D computer navigation and the ROSA robotic-assisted system, ensuring a seamless treatment experience from preoperative evaluation to postoperative care. Patients benefit from a multidisciplinary approach, with specialists in pain management, traditional Chinese medicine, rehabilitation, orthopedics, and neurosurgery working together to provide comprehensive treatment and postoperative support.

If you are experiencing spinal disorders and wish to learn more about minimally invasive surgical options, contact the Minimally Invasive Spine and Joint Center for a professional evaluation.

 
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