- Another doctor told me I need surgery. Can I get a second opinion?
- Are fusions always necessary with spine surgery?
- Can all physicians perform MISS?
- Do you also perform open procedures?
- If I have a lot of medical problems, can I still have MISS?
- Is everyone a candidate?
- Is it safe?
- Is MISS new?
- What conditions can be treated with MISS?
- What results can I expect?
- Where are the procedures performed?
Another doctor told me I need surgery. Can I get a second opinion?
We encourage second opinions. You should explore all options and proceed with surgery only after your diagnosis has been fully explained to you and after you feel comfortable with the reasons for surgical intervention. Minimally invasive spine surgery (MISS) may be your best option.
Are fusions always necessary with spine surgery?
Definitely not. In fact, the majority of procedures we perform do not involve a fusion. At times, fusions are necessary and clearly successful, especially if there is evidence of spinal instability or deformity.
Can all physicians perform MISS?
It takes special training to perform minimally invasive spine surgery.
Do you also perform open procedures?
Yes. Some situations are not appropriate for minimally invasive procedures. For these cases, a traditional open procedure is the best solution.
If I have a lot of medical problems, can I still have MISS?
Yes. If I determine you will benefit from a procedure, preoperative clearance is obtained from your primary care physician and any other doctors integral to your care. MISS limits the anesthesia risks since the procedures are performed under a local anesthesia.
Is everyone a candidate?
No. Open or traditional surgery is the best option for some patients. Determining if you are a candidate for MISS is determined after you complete a history, physical exam and imaging studies, and any other needed activities.
Is it safe?
Yes. Studies show MISS is not only effective, but safe. Compared to its “open surgery” counterpart, minimally invasive procedures have less bleeding, lower infection rates, less pain and shorter hospitalizations.
Is MISS new?
No. It has been around in many forms for decades. Knee arthroscopy and laproscopic removal of an appendix or gallbladder are examples of MISS. While the applications for the spine are continually improving, MISS has been performed effectively for several years.
What conditions can be treated with MISS?
Most surgical problems of the cervical and lumbar spine can be addressed in some form or another by a minimally invasive procedure. Only after a comprehensive history and physical examination can the exact nature of your problem be determined and a treatment plan implemented. Some common diagnoses treated with minimally invasive surgery include cervical and lumbar disc herniations, spinal stenosis, spondylolisthesis, and compression fractures.
What results can I expect?
Results depend on your diagnosis and degree of disability. An appropriate candidate, with a conservative approach and evidence-based medicine, can expect excellent results.
Medical literature is clear on the results of MISS for herniated discs, spinal stenosis and spondylolisthesis. Surgery for these conditions works faster and better than continued non-operative care for many patients, with up to 90 percent obtaining good to excellent results.
Where are the procedures performed?
These procedures require a facility and a staff trained in the highly specialized tools and instruments necessary for a successful procedure. The hospital and staff of doctors, and physical therapists must be familiar with the needs of spine patients.
The operating and procedural rooms at Coordinated Health are specifically designed to meet the patient needs. We recognize a positive patient experience is instrumental to your recovery. Other inpatient procedures performed at our hospitals include total hip, knee and shoulder replacements, fracture care, and arthroscopies.