Minimally invasive spine surgery

Our fellow surgeons can work in cavities such as the thoracic cavity through small incisions using endoscopes and surgical instruments. It concerns among others laparoscopy, thoracoscopy, the well-known exploratory operations in the abdominal and thoracic cavity.

Unfortunately, this is not possible for spine surgery. Here, we can only reduce the access path, in other words the incision. For it is a fact that the smaller the wound and the less tissue is being damaged, the less pain the patient will suffer! He will be able to stand up, walk and leave hospital sooner. He will also be able to resume work sooner.

The first onset for this 'minimally invasive spine surgery' was the so-called MicroEndosccopic Discectomy.

With this technique, the back muscle is gradually dilated, in other words the muscle fibres are gradually split until an operating channel, a tube, can be led down to the vertebra. Subsequently, the operation is executed as in conventional surgery.

However, the skin incision is smaller and the muscle is less damaged.

The same principle is applied during a lumbar arthrodesis. In this operative procedure two vertebrae are fixed onto one another using screws and in between the vertebrae a 'cage implant' with bone is inserted so that the vertebrae can grow together.

It is no longer necessary to make a large skin incision for this technique so that postoperative recovery can be enhanced!

Above the traditional incision: the muscles must be dilated far away from one another resulting in serious pain complaints.

Above the two tubes through which the operation is performed: small incisions and little muscle damage!

Also the screws are inserted in the vertebrae through small incisions in the skin.

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