J Chiu, H Huang
J Chiu, H Huang. Evolving Minimally Invasive Spine Surgery (MISS) and Technological Consideration.. The Internet Journal of Minimally Invasive Spinal Technology. 2008 Volume 3 Number 4.
Degenerated spinal disc and spinal stenosis are common problems requiring decompressive spinal surgery. Open spinal discectomy is associated with significant morbidity, long-term convalescence, prolonged general anesthesia and wide dissection of tissues that can cause bleeding, scarring and eventual destabilization of spinal segments. The evolving less traumatic minimally invasive endoscopic lumbar decompression procedure is free from these potential complications. Therefore the pursuit of minimally invasive spine surgery (MISS) began. Current and future trends of spinal surgery are toward minimally or less invasive and biologic material. This endoscopic spine surgical procedure, its surgical indications (for treatment of herniated lumbar discs, post fusion junctional disc herniation, neural compression, osteophytes, spinal stenosis, vertebral compression fractures, spinal tumor, synovial cysts and etc.), its operative techniques (both transforaminal endoscopic approach and interlamina endoscopic assisted approach) including tissue modulation technology (i.e. laser and radiofrequency surgical application), requires preoperative planning, intraoperative monitoring, control and image data collection and utilization.