What is minimally invasive spine surgery?
Minimally invasive spine surgery refers to a surgical procedure that involves approaching the spine in a minimally disruptive manner. These techniques allow surgeons to access the spine in a similar approach to open and traditional spine surgery using tubular access and/ or an endoscope. In certain cases of degenerative discs, scoliosis, kyphosis, spinal column tumors, infection, fractures and herniated discs, minimally invasive techniques may speed recovery, minimize post-operative pain and improve the final outcome.
When is minimally invasive spine surgery used?
Minimally invasive spine surgery is performed to treat a number of conditions. At Cleveland Clinic a minimally invasive spine surgery approach may be used for:
- Spinal fusion, which is often performed on degenerative disks
- Deformity corrections, such for conditions like scoliosis
- Repair of herniated discs
- Decompression of spinal tumors
- Repair and stabilization of vertebral compression fractures
What are the benefits of minimally invasive spine surgery?
Minimally invasive spine surgery offers several advantages over open surgery including:
- Minimally disrupting the normal tissues (muscles, ligaments, etc.)
- A few tiny scars instead of one large scar
- Shorter hospital stay
- Reduced postoperative pain
- Shorter recovery time
- Less blood loss during surgery
Why choose Cleveland Clinic?
Each year, Cleveland Clinic’s Center for Spine Health helps thousands of patients with conditions of the back and neck, ranging from the most common to the most complex. Whether your goal is to get back to sports, work, hobbies or just enjoying life, the specialists at the Center for Spine Health can help.
Our specialists are nationally recognized in orthopaedic surgery, neurosurgery and medical spine and provide patients with the latest, most innovative, most effective medical and surgical treatments available for back and neck problems.
What We Treat
Cleveland Clinic Center for Spine Health surgeons provide an individualized approach to care. Patients selected for minimally invasive spine surgery may experience one of the following conditions:
- Lumbar and cervical disc herniation
- Spinal stenosis
- Age-related wear and tear on spinal discs (called cervical spondylosis)
- Bones in the spine that slip out of place onto the vertebra below (called spondylolisthesis)
- Disc degeneration
- Certain cases of scoliosis, an abnormal sideways curvature of the spine
- Some less severe types of deformities
What to Expect
Patients in the Center for Spine Health undergo an extensive evaluation to determine if minimally invasive spine surgery is the appropriate option for treating their condition. In some situations, minimally invasive spine surgery may not be as safe or effective as traditional open surgery. If so, the staff will provide education on the relative risks and benefits.
What are the risks of spine surgery?
As with any surgical procedure, including minimally invasive spine surgery, there are general risks and procedure-specific risks. The more common general risks of spine surgery include the risk of adverse reactions to the anesthetic, post-operative pneumonia, blood clots in the legs (deep vein thrombosis) that may travel to the lungs (pulmonary embolus), infection at the site of surgery and blood loss during surgery requiring a transfusion.
The specific risks of spine surgery include:
- Risk of injury to the nerves or spinal cord resulting in pain or even paralysis
- The estimated risk of paralysis for major spinal reconstructions is somewhere around 1 in 10,000
- Instrumentation, if used, breaking, dislodging or irritating the surrounding tissues
- Pain from the surgery itself
On rare occasions, during a minimally invasive procedure, the planned surgery cannot be completed and requires either a second trip to the operating room or a conversion from the minimally invasive technique to a full open technique.
Most types of minimally invasive surgery rely on a thin telescope-like instrument, called an endoscope, or on a portable x-ray machine, called a fluoroscope, to guide the surgeon while they are working. The endoscope is inserted through small incisions in the body. The endoscope is attached to a tiny video camera – smaller than a dime – which projects an internal view of the patient’s body onto television screens in the operating room. Small surgical instruments are passed through one or more half-inch incisions, which are later closed with sutures and covered with surgical tape. The fluoroscope is positioned around the patient to give the surgeon the best X-ray views from which to see the anatomy of the spine.
Minimally invasive procedures can shorten recovery time. Generally, patients go home on the same day or in one to two days but the exact length of time needed in the hospital will vary from patient to patient. While most patients having traditional surgery stay in the hospital for three to five days.
Since minimally invasive techniques do not disrupt muscles and soft tissues, postoperative pain is less than pain after traditional open procedures. Even though you should still expect to feel some discomfort, advancements in pain control now make it easier for your doctor to manage and relieve your pain.
To help you regain strength and speed your recovery, your doctor may recommend physical therapy. This will depend on the procedure and your general physical condition. Specific exercises will help you become strong enough to return to work and daily activities.
Appointments & Locations
Make an Appointment
To make an appointment with the Center for Spine Health, please call 216.636.5860 (local) or 866.588.2264 (toll-free).
Providers in the Center for Spine Health see patients at Cleveland Clinic's main campus and Hillcrest Hospital:
Center for Spine Health now offers existing patients the opportunity to receive follow-up care from their provider online using the Cleveland Clinic Express Care® Online tool. This service allows patients a fast, secure and easy way to receive care from their healthcare team in a live virtual visit using a smartphone (iPhone or Android), tablet or computer. The benefits of choosing this appointment option include no travel or parking, no facility fee, less waiting, significant time savings and the convenience of seeing your physician from wherever you choose.
If you would like to use Express Care Online for your next visit, please call your provider’s office. If you are eligible, our team will schedule your virtual visit and provide details on the cost of your appointment and setup instructions.