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Endoscopic Spine Surgery or Minimally Invasive Spine Surgery?

A close-up view of a doctor performing a minimally invasive spine surgery.
Published Dr. Umesh Srikantha on January 27, 2025

Advancements in spinal surgery techniques have transformed the treatment of spinal conditions. Of the many prevailing choices, as a spine specialist, I often recommend Minimally Invasive Spine Surgery (MISS) and Endoscopic Spine Surgery for speedy recovery and minimal post-operative discomfort.

Understanding the benefits and distinguishing features of these two procedures can clear confusion about whether to opt for endoscopic spine surgery or minimally invasive spine surgery.

Importance of MISS & Endoscopic Spine Surgery

MISS and endoscopic spine surgery have transformed spinal surgery with less intrusive options compared to traditional surgical approaches.

Both methods focus on minimising tissue trauma and accelerating recovery. However, the main difference lies in the approach, the size of the incisions, and the technology employed.

Endoscopic Spine Surgery utilises a tiny camera called an endoscope, which is inserted through a tiny incision to access and repair the spine. This technique is often considered the least invasive, enabling precise interventions with minimal disturbances to surrounding tissues.

On the other hand, MISS involves slightly larger incisions but incorporates microscopes and specialised instruments to visualise and address spinal issues.

Through smaller incisions and high-technology procedures, it reduces the possibility of post-operative infections and the extended recovery time by a great margin.

Technological Innovations in Spine Surgeries

Advanced technological forces drive these surgeries to have improved precision and safety. Some key innovations that have transformed these procedures include:

  • High-resolution imaging devices, like 3D cameras, provide crystal-clear images of the spine. These images are used for identification and navigation in procedures.
  • Advanced spine navigation software indicates the exact location of the herniated disc or other spinal issues.
  • The integration of endoscopic equipment is immensely useful in irrigating the surgical site, magnifying the view, and serving as a working channel for instruments.

The best surgical results can be achieved through the extensive training of surgeons to gain mastery of MISS and endoscopic spine surgery. It encompasses the technical skills and dexterity needed to handle expensive equipment.

The integration of these medical technologies forms a vital advancement within the realm of surgery that allows for:

  • Optimal patient care
  • Enhanced safety during procedures
  • Minimum blood loss
  • Lower infection rates
  • Less recovery time
  • Better spinal health and function

Advantages of MISS

Minimally Invasive Spine Surgery has several compelling advantages that make it an excellent choice for addressing spinal problems. Patients benefit from:

Minimum tissue damage, resulting in minimum post-operative pain and a smoother recovery period.
Smaller incisions curb the risk of post-surgical infections, blood clots, and other complications.
Helps in treating several spinal conditions like herniated discs and spinal stenosis.
Shorter hospitalisation allows patients to return home on the day of surgery or shortly after.

Also Read: A Comprehensive Guide to Types of Minimally Invasive Spine Surgery

Benefits of Endoscopic Spine Surgery

Similar to MISS, endoscopic spine surgery is also widely favored due to several benefits, including:

  • Smaller incisions, measuring less than one inch, result in minimum tissue damage, less post-operative pain, and a quicker healing process.
  • Shorter hospital stays and speedy healing allow patients to resume their daily activities quicker than those who undergo conventional surgeries.
  • High-definition endoscopic cameras enable viewing of the surgery site through crystal-clear images. This visualisation enables precision in locating the issue and performing the surgery.
  • Superior surgical results include better flexibility and reduced possibility of complications.
  • Less blood loss during surgery and minimal to nil risk of infections and other complications post-surgery.
  • The minimally invasive nature of the procedures allows patients to often be discharged on the same day, highlighting the efficiency and effectiveness of this surgical approach.

MISS vs Endoscopic Spine Surgery

Incision Size

Endoscopic spine surgery uses incisions under 1 inch. In contrast, the MISS incisions measure at least 2-3 inches in size.

Visualisation Techniques

Endoscopic spine surgery employs a small camera that produces high-definition images. With these high-definition images, one can easily have excellent visualization and precision during the procedure. MISS employs the use of microscopes and specific instruments to observe the surgical site and rectify the spinal issues.

Surgical Outcomes

Although minimal post-operative pain and quicker recovery times are common outcomes for both procedures, endoscopic surgery often results in minimal scarring due to the really small incisions.

Conversely, MISS is more invasive but versatile in addressing issues like spinal deformities and spondylolisthesis.

Limitations of MISS and Endoscopic Spine Surgery

Endoscopic Spine Surgery may not be effective for severe spinal deformities. The expensive endoscopic tools and high-resolution imaging devices limit the procedure’s availability to treat diverse issues. The method also imposes a steep learning curve for surgeons to master the dexterity required to use the high-tech equipment.

Similarly, MISS also demands specialised training and equipment; certain conditions may still necessitate traditional open surgery.

Another major limitation is the high cost of acquiring specialised equipment for both surgeries. This may further limit the availability of these procedures to medical centres that can afford them. The lack of widespread availability also limits patient’s access to these procedures, particularly in areas with limited healthcare.

Patient Suitability & Deciding Factors for Spine Surgeries

Factors influencing the choice of surgery and patient suitability depend on:

  • The type of spinal condition being treated.
  • Overall health condition, because certain health conditions are better treated using one type of surgery over the other.
  • Personal preference and means.
  • Patient’s comfort level with the procedure.
  • Availability of specialised equipment and experienced surgeons.

Patients can make more informed surgical decisions by considering their health needs and lifestyle.

Embrace Advanced Spine Solutions With Spine 360

Embracing advanced surgical solutions can set the foundation for improved spinal health. Technological breakthroughs in minimally invasive and endoscopic spine surgeries offer effective treatment while enhancing recovery.

Have any more queries about these technologically advanced surgeries? You can always consult us at Spine 360 in Bangalore.

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Dr. Umesh Srikantha

M.Ch (Neurosurgery)
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