Impressive technological advancements in recent years have made minimally-invasive spine surgery a reality for many patients. Today, it’s possible to surgically treat your condition with minimally invasive spine surgery and without the lengthy incision, muscle damage, and extensive recovery period associated with traditional open surgery.

BENEFITS OF A MINIMALLY-INVASIVE APPROACH

  • Smaller incisions
  • Less blood loss
  • Easier recovery
  • Shorter hospital stay
  • Quicker return to normal routine

LUMBAR DISC MICROSURGERY

A lumbar disc microsurgery is done to remove a herniated disc in the lower back that is compressing your nerves and causing sciatica.

The procedure will begin with one of our Long Island spine surgeons creating a small incision directly over the herniated disc. Through that opening, we will use a microscope to visualize the disc and the associated pinched nerve root. We will then gently move the spinal nerve aside and remove just the herniated portion of the disc – preserving the rest of the structure.

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ANTERIOR CERVICAL DISCECTOMY AND FUSION

This procedure is a form of minimally-invasive neck surgery. It involves removing a damaged disc to relieve pressure on the spinal cord and nerve roots, to help decrease any associated pain, weakness, numbness and tingling.

To begin, one of our Long Island spine surgeons will create a small incision in the front of the neck and access the spine through careful dissection through the neck. We will then create an incision in the outer layer of the disc, allowing us to remove the soft, inner core.

Once the disc has been removed, we will perform the fusion portion of the procedure. This involves placing a bone graft where the spinal disc used to be located to prevent the space from collapsing. Eventually, bone will grow to permanently fuse the upper and lower vertebrae together. We will also affix a small metal plate to the front of the bones to provide stability throughout the healing process.

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PERCUTANEOUS PEDICLE SCREW INSTRUMENTATION

Percutaneous pedicle screw instrumentation is done to provide stability and fusion when treating a number of spinal pathologies, including trauma, tumors, deformities, degenerative diseases, and more.

The procedure is done under CT guidance for maximum accuracy. To begin, our surgeons will create a small incision at the level of where the screw is to be placed.

From there, we will insert cannulated needles into the center of the pedicle where the screw will go. We will then replace the needles with a k-wire, a cannulated pedicle screw, and a rod to stabilize the area.

YESS DISCECTOMY

The YESS discectomy is a new minimally-invasive spine surgery that is done to remove herniated disc material.

To begin, we will insert a guide wire to the affected disc under X-ray guidance. From there, we will insert a small tube and an endoscope, which is attached to a surgical light and camera. This allows our spine specialists to visualize the surgical site without a lengthy incision.

Using tiny instruments, we remove the disc material that is herniated or degenerative, which will help to decrease your symptoms while ensuring that the spine remains stable.

MINIMALLY-INVASIVE INTERBODY FUSION

This procedure is done to treat degenerative disc disease and/or nerve compression. It’s a fusion surgery that involves joining two or more vertebrae together with a bone graft to create a stronger and more stable spine. In most cases, we will also place screws and rods to maintain the spine’s new position and ensure a successful fusion.

In the past, interbody fusion procedures were done as open surgery, with a long incision along the middle of the back. This technique was associated with substantial trauma to the spinal muscles and tissue, along with a lengthy recovery period of several weeks or months.

The minimally-invasive approach is vastly different. It involves inserting a small tube through the skin until it reaches the spine. The entire procedure is done inside the tube using tiny surgical instruments – resulting in a smaller incision, less trauma and a quicker recovery period.

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