Spine Surgery in gurgaon
                     What is 
Minimally 
Invasive Spine 
Surgery.
Presented by
Dr.  Anurag Gupta
Dr Anurag Gupta
As the name suggests surgery done using small incisions and minimal tissues destruction is called 
MISS
Traditionally spine surgery involved large cuts with extensive muscle dissection and cutting thus 
leading to loss of normal anatomy and destruction of normal tissue and muscles.
MISS aims to achieve the same results while minimizing the disruption of normal tissue and anatomy.
HTTPS://DRANURAGGUPTA.C
OM/
By using tubular dilators and retractors and modern 
Traditional spine surgery needs long incisions and cutting microscopes the same results can be achieved by using 
and retracting large muscles to reach the actual area of small incisions with minimal tissue destruction.
pathology.
What procedures can be done 
uN EsX T ing MISS:
LUMBAR CANAL N SPINAL 
MICRODISCECTO
STENOSIS SPINAL TUMORS: FUSION\TLIF
MY
Some tumors of the spinal Some patients may have a 
This is the most ommon issue in the 
canal if surgically condition called spinal lysthesis 
common surgery which elderly this is because 
favourable can be removed where there is slippage of the 
can be done . Using a of thickening of the 
completely with the same vertebral bodies . This may be due 
small 14-18mm soft tissues and joints 
incision. to a defect since birth or due to 
inscions the abnormal in the spinal 
By using this 18mm various loosening of joints over time. These 
disc can be removed canal.When it causes 
surgeries such as patients require stabilization of the 
giving relief . Surgery severe symptoms may 
microdiscectomy, spinal bone along with decompression of 
takes 60-90 min and if need surgery. It can be 
canal decompression for the nerve roots if needed. MISS is 
needed patient can be at multiple levels also. 
stenosis and even spinal really useful here as it significantly 
sent home the same Upto 2 concurrent 
tumors can be done. reduces the extent of muscle 
day. levels can be treated 
Reducing the patients cutting and stripping thus reducing 
with a 18mm incision 
hospital stays, post op pain the post surgery complications and 
like shown in the 
and duration of recovery. shortening the recovery time.
picture.
Is  MISS surgery as eff ect ive as open surgery:
Multiple trials across the world have repeatedly shown that MISS surgery outcomes are as good as 
open surgery. They have also shown that the surgical blood loss, duration of hospitalization and 
rates of post surgical infections are significantly less in MISS as compared to open surgery.
It is also thought that as MISS causes minimal disruption of normal anatomy , chances of surgical 
failure may be less
Are they any disadvantages to MISS surgery \Why doesn't everyone do it if it's better than open 
surgery?
MISS surgery entails a long learning curb for every surgeon. It need very specialized equipment in 
the form of microscopes, drills, specialized C arms which are not available in smaller hospitals .
In expert hands it's better for the patient in every aspect.
Thank
you!