Back Problems? Minimally Invasive Spine Surgery May Be the Answer.

Thanks to recent technological advancements in minimally invasive surgical techniques, spinal surgeons like Stephen R. Goll, M.D., of Orlando Orthopaedic Center are now able to perform delicate procedures with minimal scarring, pin-point accuracy and less pain for patients, all of which results in faster recoveries and optimal results for spine patients. "

When we say minimally invasive spine surgery, what we mean is that these are new methods by which we can accomplish, in some ways, the same types of operations that we have been doing for many years,” says Dr. Goll. “However, now we are able to do those very same operations through much smaller incisions and with much less muscle disruption for the patient.”

Traditionally, spinal surgeries have been done using “open” surgical techniques, resulting in large incisions running the length of the back, cutting of important spine supporting muscles, loss of blood, and overall disruption of other integral muscles. The result of such trauma to the body is often painful and lengthy recoveries that can take a toll on patients for months.

In comparison to open surgical practices, minimally invasive spinal surgery often results in a decrease of all negative consequences, resulting in scars only an inch or so in length with minimal blood loss, and a faster recovery with severe reduction of pain for patients.

“One of the additional advantages of minimally invasive surgical techniques is not only what happens during the surgery, but what happens after the surgery,” says Dr. Goll. “Because the surgery is performed through smaller incisions and with less disruption of the muscles and ligaments that surround and support the spine, there is less pain after those procedures. Because there is less pain, you as a patient are able to get up and get going much more quickly than you might have been in the past with more traditional techniques. All in all, your overall recovery time is going to be cut down significantly if your surgery can be done through a minimally invasive technique.”

With the tools-of-the-trade getting smaller and more accurate each year, a larger number of spinal conditions are now able to be treated using minimally invasive techniques, including painful herniated discs, spinal instabilities, spinal deformities, spinal infections, tumors and fractures of the spine. In addition to treatable conditions, eligibility for candidates of minimally invasive spinal surgery has increased to include sick and elderly patients too frail to undergo traditional open surgery, and active patients interested in a timely return to work or physical activities like sports.   

But even with the growth in technology, treatable conditions, and patient eligibility, Dr. Goll says that minimally invasive surgery is not for everyone. “It's important for patients to realize however, that although there is a tremendous amount of our surgical procedures now that we can do through minimally invasive technologies, not every surgery can and not every surgery should be done through a minimally invasive approach,” says Dr. Goll.

As for the future of the surgical technique, research on the ongoing benefits of minimally invasive surgery continues and Dr. Goll sees great opportunity ahead for the field of spinal surgery and treatment. “Over the years we're all going to see more and more procedures done in a minimally invasive fashion,” says Dr. Goll. “We're going to see a lot of procedures that are done today in a hospital setting, involving several days stay in a hospital, perhaps done in an outpatient setting where the surgery can be done and the patients can go home the same day.”

Article by Victor Ocasio

Minimally Invasive Spine Surgery Videos

Originally Published in FloridaMD, June 2012
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