Minimally invasive spinal surgery procedures

Danielle.Steilen.ProlotherapistDanielle R. Steilen-Matias, PA-C

Why do people opt for minimally invasive spine surgery? Doctors at the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, came to these conclusions in the journal Clinical Spine Surgery (April 2018).

“Minimally invasive spine surgery has increased in popularity due to proposed advantages in the perioperative and immediate postoperative periods.”

Comment: There is an understanding among patients that in the period just before the surgery and in the recovery after the procedure there are advantages to having the Minimally invasive spine surgery.

The Rush researchers discovered that the 3 most important criteria for patients when choosing between open (traditional spinal surgery) and Minimally invasive spine surgery were:

When compared with Minimally invasive spine surgery, the majority of patients thought that:

But is the understanding that Minimally invasive spine surgery is less complicated, less risky, less painful, accurate? NYU Study

Researchers at New York University Langone Medical Center warn about the growth and popularity of minimally invasive surgery (MIS) procedures. They say that the procedures are easily marketable to patients as less invasive with smaller incisions, minimally invasive surgery is often perceived as superior to traditional open spine surgery. The NYU researchers put this to the test.

A systematic review of randomized controlled trials involving minimally invasive surgery versus open spine surgery was performed.

But is the understanding that Minimally invasive spine surgery is less complicated, less risky, less painful, accurate? British journal of neurosurgery Study

In research from August 2017 appearing in the British Journal of Neurosurgery, surgeons said this:

“Though different techniques have been successfully employed in the treatment of recurrent lumbar disc herniation, the one which should be considered most ideal has remained a controversy, (minimally invasive surgical techniques).”

“In view of the currently available data and evidence, minimally invasive techniques for revision of recurrent disc herniation do not really appear to be superior to the conventional open surgical approaches and vice-versa. Spinal fusion should not be undertaken in all recurrences but should only be considered as an option for revision when spinal instability, spinal deformity or associated radiculopathy is present.”(3)

Prolotherapy an option to any spinal surgery

In his article Prolotherapy non-surgical treatment of a herniated or bulging disc, Ross Hauser, M.D writes: “In our many years of treating patients with cervical neck and back pain, we came across patients who had continued back pain after spinal surgery. The reason? A coincidental finding on MRI of a herniated disc. Coincidental means, “oh, by the way, you have a herniated disc, we are not sure that is the problem, but to make sure, let’s go to disc surgery.” The outcomes of this medical strategy did not go as well as hoped for in many patients we have seen.”

In that article and in the video below, we present our argument for Prolotherapy as being an option to any spinal surgery.

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Danielle Steilen-Matias, PA-C | Katherine Worsnick, PA-C | Ross Hauser, MD | David Woznica, MD

1 Narain AS, Hijji FY, Duhancioglu G, Haws BE, Khechen B, Manning BT, Colman MW, Singh K. Patient Perceptions of Minimally Invasive Versus Open Spine Surgery. Clinical spine surgery. 2018 Apr 1;31(3):E184-92. [Google Scholar]

2 McClelland S, Goldstein JA. Minimally Invasive versus Open Spine Surgery: What Does the Best Evidence Tell Us? Journal of Neurosciences in Rural Practice. 2017;8(2):194-198.[Google Scholar]

3 Onyia CU, Menon SK. The debate on most ideal technique for managing recurrent lumbar disc herniation: a short review. British Journal of Neurosurgery. 2017 Aug 22:1-8. [Google Scholar]

 

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