Minimally Invasive Spinal Fusion (MISF)
Minimally Invasive Spinal Fusion (MISF) represents a revolutionary advancement in spinal surgery, combining the stabilization benefits of traditional fusion procedures with the advantages of minimally invasive techniques. This sophisticated approach treats spinal instability, degenerative conditions, and deformities through small incisions using specialized instruments and advanced imaging guidance. Our MISF procedures result in less tissue damage, reduced blood loss, minimal scarring, shorter hospital stays, and significantly faster recovery times compared to traditional open fusion surgery, while maintaining the same excellent long-term fusion rates and clinical outcomes.
The MISF procedure utilizes specialized tubular retractors to create a narrow, muscle-sparing working channel, avoiding the extensive muscle stripping of traditional open surgery. Guided by advanced imaging like intraoperative CT and navigation for precise instrumentation, surgeons can select from multiple fusion techniques. Approaches like Transforaminal (TLIF) or Lateral (LLIF) interbody fusion are chosen based on the patient's specific anatomy and condition to minimize surgical trauma and optimize outcomes.
The fusion itself involves removing the damaged disc and packing the space with bone graft material to promote healing. Advanced biologics and synthetic grafts can be used to enhance the fusion rate. To provide immediate stability, titanium screws and rods are implanted, holding the vertebrae securely in place while they fuse into a single, solid bone over the course of several months. This process of bone formation creates a solid, biological weld between the vertebrae, known as an arthrodesis. Once the fusion is mature, the hardware is no longer needed for stability but is typically left in place to avoid a second surgery.
Long-term outcomes following MISF are excellent, with fusion rates exceeding 95% and patient satisfaction scores consistently high. The combination of immediate spinal stabilization with preserved muscle function results in superior functional outcomes and quality of life improvement. Our comprehensive post-operative program includes specialized physical therapy protocols designed for minimally invasive fusion patients, ensuring optimal recovery and long-term success. Most patients achieve significant pain reduction and functional improvement within weeks of surgery, with continued improvement over the following months as the fusion solidifies.