3444 Kearny Villa Road, Ste 100
San Diego, CA 92123

858.268.3566
7AM to 5PM, M-F
Coast Surgery Center

Minimally Invasive Spine Surgery

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Minimally invasive surgery is a name given to wide a range of procedures with a common goal: treatment that is less traumatic to the patient and that allows a faster return to a normal lifestyle and activities. In surgery of the spine, three main factors are contributing to a rapid proliferation of options for patients who once faced more extensive open surgeries and a prolonged recovery time.

Less Invasive Spine surgery can mean:

– smaller surgical incisions
– decreased operative time
– avoiding or minimizing the need to cut through muscle
– reduced loss of blood
– reduced scarring
– a more rapid healing time
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Non-fusion Technologies

Traditionally, surgical treatment for  many injuries and diseases of the spine meant a large open incision, a fusion  (or permanent joining together of bones) and a lengthy recovery period.  Non-fusion technologies are replacing that scenario, as in the case of  degenerative disc disease, in which the normal discs in the spine become thinner  and weaker. As the cushioning effect is lost, the patient experiences pain and  stiffness at the site of the damaged disc or discs. Fortunately, only about 20%  of cases require surgical treatment, which, until recently, was fusion of the  affected vertebrae (the bones surrounding the disc.) By eliminating motion, the  surgeon eliminated the patient’s pain.

By comparison, fusion requires an  open incision in the patient’s back that may range in length depending on how  many discs are affected. Patients with disc replacement usually begin physical  therapy at 6 weeks and can return to normal function in 3 months. Patients who  undergo fusion begin physical therapy at 3 months and return to most activities  at 6 months. Preliminary results from the trial indicate that disc replacement  and fusion provide comparable medium-term results; long-term results with disc  replacement remain to be assessed. At present, this surgery is restricted to  diseased discs in the lumbar spine, the area that corresponds to the lower back.

Physicians at Coast Orthopedic Surgery Center also perform a number of  minimally invasive surgeries with the use of endoscopes (an instrument that  provides a view the interior of the torso) and arthroscopes (an instrument that  provides a view inside a joint). This technology allows orthopaedic surgeons to  address various conditions of the spine, using only small incisions to position  the scopes, a miniaturized camera, and small instruments. One of the most  successful of these procedures is micro-discectomy to provide relief of pain  caused by herniated discs that are compressing or pinching a nerve in the spine.  A small incision of an inch or so is made, the disc fragment is removed from the  spine, and pressure is taken off the nerve. Patients are generally kept at the  surgery center overnight and go back to work in about a week to ten days.

Additional endoscopic surgeries include:

– Deformities
– Trauma
– Infection
– Biopsy
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