Spinal Surgery Spinal Surgery

The Woolworth Building
233 Broadway, Ste 640
New York, NY 10279
(212)­ 513-7711

333 East 38th Street
6th Floor
New York, NY 10016
(212)­ 513-7711


The Woolworth Building
233 Broadway, Ste 640
New York, NY 10279
(212)­ 513-7711

Minimally Invasive Spinal Fusion - Theory and History

The theory with any minimally invasive spine surgery system is that smaller incisions and percutaneous approach will create less tissue damage, less blood loss, shorter hospital stays and faster recovery. However, the advantages of any minimally invasive spine fusion system are still considered to be theoretical and have not yet been proven.

A minimally invasive spine fusion system is designed to allow placement of pedicle screws (into the pedicles on each side of the vertebral bone) and rods (which connect the screws) into the spine. These spine surgery systems use several small incisions in the skin, rather than one long incision, and the surgeon is guided by sophisticated imaging technology that projects the anatomical images onto a television screen. The theoretical advantage is that the screws and rods are placed into the bone in the spine with minimal trauma to the muscle and tendons in the back.

 

Foley et al. recently reported their experience with using a minimally invasive spinal fusion instrumentation system (the SEXTANT) in the Journal of Neurosurgical Focus. At an average follow-up of 6.8 months, eleven of twelve patients reported good to excellent results. This is a very small sample size, however, and the results of this study are comparable to the majority of published results for traditional open spine fusion surgery procedures (which generally show fusion rates over 90% and patient satisfaction with the procedure about 80 - 90% of the time).

Minimally invasive alternatives to traditional fusion surgery are still very new. These systems involve a steep learning curve for the spine surgeon, and surgical times may initially increase when using a minimally invasive spine fusion system vs. a traditional, open spine fusion approach.

In addition to the type of technology or medical device used for a fusion, there are several important factors that influence the outcome of any spine fusion surgery, including the spine surgeon's skill and experience, indications for a spine fusion/patient selection, and the type of fusion and surgical technique that is used.

Endoscopic Spine Surgery
Minimally Invasive Lumbar Discectomy

Dr. Goldstein also recommends this overview of Minimally Invasive Spine Surgery

Spinal Expertise

Dr. Goldstein is recognized as one of the leading spine surgeons in New York. His expertise is sought by television, media, and magazines. His practice is focused on surgical treatment:

2017 New York Magazine Best DoctorsDr. Jeffrey Goldstein was recognized again in 2017 as one of America's Top Doctors .

About Dr. Goldstein »

Spine Surgery in New York

Dr. Goldstein serves as Director of the Spine Service at NYU Langone Medical Center Hospital for Joint Diseases.
Hospital for Joint DiseaseHospital for Joint Disease

Patients from around the world travel to New York for the most advanced medical care. New York offers unrivalled facilities, accommodation, and infrastructure.

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