Keyhole Spine Surgery is also known as Minimally Invasive Spine Surgery (MISS) or Minimal Access Spine Surgery. This type of spine surgery is minimally invasive as keyhole spine surgery is performed through one or more small punctures or incisions from where tubular retractors are inserted for operation. Keyhole type of surgeries range from discectomies & decompressions to multi level instrumented fusions including corrective deformity reconstruction procedures.
Benefits of keyhole spine surgeries include the following
- Lesser post-operative pain
- Reduced stay at hospitals
- Faster mobilization including return to work
- Reduced risk of blood loss
- Reduced risk of infection
- Improves physical form & muscle function
This is highly advantageous for young patients expecting to quickly return to work & active life. While at the other end of the spectrum, patients with co-morbidities like the obese, elderly & with major spinal problems like multi level trauma or degenerative deformities, can also benefit from keyhole spine surgeries.
These are operating tools which spare cutting through soft tissues & muscles & thereby minimize damage. Tubular retractors very gently & progressively dilate & separate soft tissues & muscles within the operative field. Another final adjustable retractor or working tube is then secured in place for operation. Utilizing specialized microscopic visualization & bayoneted instruments, keyhole surgery is basically performed through the tube & which can be moved at will depending upon the required exposure.
Majority of spine surgeries are still performed using the open incision procedure. Advances in education, networking & training seminars, techniques, surgical instruments, bone graft biotechnology, stereotactic neuro-navigation surgery & interbody implant devices have all contributed to make keyhole spine surgery more optimal & much safer in the sphere of surgical spine treatments. Following indications are recognized as the most suitable for keyhole spine surgery technique.
- Degenerative Scoliosis
- Cervical & Lumbar Herniated Discs
- Cervical & Lumbar Spinal Stenosis including Lateral Recess Stenosis
There are other indications for keyhole spine surgery as well including infection, trauma like in case of fractures, tumors of spinal column which usually are extradural metastases & spinal cord tumors. Keyhole spine surgery allows surgeons to correct deformities, stabilize by utilizing instrumented fusion & to effectively perform decompression procedures.
Learning curve for keyhole spine surgeries can be an obstacle for some surgeons who are comfortably settled in open procedures & do not wish to go back & learn newer techniques which will eventually slow them down & potentially increase complications within the process. Frankly speaking, once a certain number of keyhole surgery cases have been completed, learning curve rapidly diminishes as well & the following surgical times are often much faster than the open incision procedure. Moreover, results are also comparable to open technique procedures & revision surgery rates are also favorable in comparison, even though there are some surgeons who do not give appropriate length of time prior to making an informed decision to either relinquish or continue with the keyhole spine surgery approach.
Keyhole spine surgery techniques are safe & effective for treatment of a variety of spinal conditions. Although quite technical, these procedures allow safe & efficient accomplishment of surgical goals when performed by well trained surgeons who have undergone specific training & experience in keyhole surgery techniques. Moreover, benefits of keyhole spine surgery considerably outweigh risks in the right hands & therefore patients must therefore carefully discuss suitability of keyhole spine surgery options with spine surgeons.
This is one of the reasons as to why India is well placed as a leading global medical tourism destination. Doctors, surgeons & healthcare facilities are keen & eager when it comes to adopting the latest technologies within the medical field. Keyhole surgeries are commonly performed in Indian healthcare institutions & many of them have even advanced to robotic procedures as the next step. Associated with the best doctors & accredited hospitals in the country, Orthopaedic Surgery India is most suitably placed to pass on all benefits to international patients seeking orthopedic solutions including keyhole spine surgery for back problems