spine surgery in gurgaon

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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.
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HTTPS//DRANURAGGUPTA.COM/
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What procedures can be done using MISS
N SPINAL FUSION\TLIF
LUMBAR CANAL STENOSIS
MICRODISCECTOMY
SPINAL TUMORS
Some patients may have a condition called spinal
lysthesis where there is slippage of the
vertebral bodies . This may be due to a defect
since birth or due to loosening of joints over
time. These patients require stabilization of the
bone along with decompression of the nerve roots
if needed. MISS is really useful here as it
significantly reduces the extent of muscle
cutting and stripping thus reducing the post
surgery complications and shortening the recovery
time.
Some tumors of the spinal canal if surgically
favourable can be removed completely with the
same incision. By using this 18mm various
surgeries such as microdiscectomy, spinal canal
decompression for stenosis and even spinal tumors
can be done. Reducing the patients hospital
stays, post op pain and duration of recovery.
This is the most common surgery which can be done
. Using a small 14-18mm inscions the abnormal
disc can be removed giving relief . Surgery takes
60-90 min and if needed patient can be sent home
the same day.
ommon issue in the elderly this is because of
thickening of the soft tissues and joints in the
spinal canal.When it causes severe symptoms may
need surgery. It can be at multiple levels also.
Upto 2 concurrent levels can be treated with a
18mm incision like shown in the picture.
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Is MISS surgery as effective 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.
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