Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

 

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery (MISS) represents a groundbreaking approach to treating various spinal conditions with precision, reduced tissue disruption, and quicker recovery times. This overview explores the key aspects of minimally invasive spine surgery, including its principles, common procedures, and advantages for patients.

Principles of Minimally Invasive Spine Surgery:

  1. Precision and Visualization:
    • MISS employs advanced imaging technologies, such as fluoroscopy or intraoperative navigation, to enhance visualization of the spine, allowing surgeons to precisely target the affected area.
  2. Smaller Incisions:
    • Unlike traditional open surgeries, MISS utilizes smaller incisions, often less than one inch, reducing trauma to surrounding tissues and muscles.
  3. Specialized Instruments:
    • Minimally invasive techniques involve specialized instruments, such as endoscopes and microscopes, which allow surgeons to access and treat the spine through small openings.

Common Minimally Invasive Spine Procedures:

  1. Microdiscectomy:
    • Used to treat herniated discs, microdiscectomy involves removing a portion of the disc that is pressing on a nerve root through a small incision.
  2. Laminotomy and Laminectomy:
    • These procedures involve removing part (laminotomy) or the entirety (laminectomy) of the lamina, the bony arch covering the spinal canal, to relieve pressure on the spinal cord or nerves.
  3. Spinal Fusion:
    • Minimally invasive spinal fusion involves using screws and rods to stabilize and fuse two or more vertebrae, addressing conditions like instability or deformities.
  4. Vertebroplasty and Kyphoplasty:
    • These procedures treat vertebral compression fractures by stabilizing and reinforcing the affected vertebrae with the injection of bone cement through small incisions.
  5. Foraminotomy:
    • Foraminotomy enlarges the neural foramen, the passageway where nerves exit the spine, to alleviate pressure on spinal nerves caused by conditions like foraminal stenosis.

Advantages of Minimally Invasive Spine Surgery:

  1. Quicker Recovery:
    • Smaller incisions and reduced tissue disruption contribute to faster recovery times compared to traditional open surgeries.
  2. Less Blood Loss:
    • Minimally invasive techniques typically result in minimal blood loss during surgery, reducing the need for transfusions.
  3. Reduced Pain:
    • Patients often experience less postoperative pain due to the smaller incisions and minimized disruption of surrounding tissues.
  4. Lower Infection Rates:
    • The risk of infection is generally lower in minimally invasive procedures because of the reduced exposure of the surgical site.
  5. Outpatient Options:
    • Some minimally invasive procedures can be performed on an outpatient basis, allowing patients to return home on the same day.

Considerations and Limitations:

  1. Case Selection:
    • Not all spinal conditions are suitable for minimally invasive approaches. Case selection is crucial, and the surgeon will determine the most appropriate technique based on the patient’s condition.
  2. Surgeon Expertise:
    • Minimally invasive spine surgery requires specialized training and expertise. Patients should seek out experienced surgeons with a proven track record in MISS procedures.

Conclusion:

Minimally Invasive Spine Surgery represents a significant advancement in spinal care, offering patients the benefits of reduced trauma, quicker recovery, and enhanced precision. As technology continues to evolve, the scope of conditions treatable through minimally invasive techniques is expanding, providing patients with more options for effective and less invasive spine care. Individuals considering spine surgery should consult with their healthcare professionals to explore the most suitable approach based on their specific condition and overall health.

    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient