Minimal invasive surgery (MISS) involves surgery through a small skin incision, as opposed to open surgery which is often more than 6 inches long. This allows for rapid patient mobilization after surgery, less post op pain, faster wound healing and early return to work.


Examples of Minimal Invasive spine surgery (MISS).

  1. Microdiscectomy for lumbar and cervical disc prolapse 

  2. Cervical and lumbar foraminotomies can also be done by the MISS technique.

  3. Endoscopy for lumbar and cervical disc prolapse.

  4. Percutaneous screw insertion for spine stabilization.

  5. Percutaneous discectomy (APLD).

  6. Minimal invasive Lumbar spinal fusion (TLIF)

  7. Robotic spine surgery 


A 34-year-old female underwent L4/5 percutaneous stabilization with pedicle screws  

under GA for chronic back pain. Discography was suggestive of L4-L5 discogenic

back pain. Five years post-op the patient is still pain free.




                               Pre-op MRI image showing L4-L5 disc degeneration

                               Photo of patient’s wound post-op showing four small incision through

                               which spine has been stabilized using titanium pedicle screws.

                                                                            X-Ray post-op showing percutaneous

                                                                            pedicle screws