Minimally invasive surgery - a safer technique for spine surgery

Written by: Mr Sean Molloy
Published: | Updated: 02/04/2020
Edited by: Jay Staniland

Minimally invasive spinal surgery is a relatively new technique in spinal surgery. Approaches such as anterior and posterior minimally invasive surgery lead to improved recovery times, less tissue trauma, and less chance of complications for the patient. Here, leading consultant orthopaedic surgeon and specialist in minimally invasive surgery, Mr Sean Molloy explains more about this ideal technique in spinal surgery.

 

 

What is minimally invasive surgery?

 

Minimally invasive surgery is an ideal technique in spinal surgery. What is meant by minimally invasive surgery is smaller incisions rather than larger and more invasive incisions.
 

The benefit of the minimally invasive technique is that recovery time for the patient is reduced, there is less tissue trauma, the patient does not lose as much blood, and there is less chance of complications.
 

What is meant by less tissue trauma is the use of a muscle splitting, rather than muscle cutting approach. There are different ways in which the surgeon can choose to approach minimally invasive surgery.

 

Anterior minimally invasive spinal surgery

 

Using the anterior minimally invasive technique, the spine can be approached surgically from the front.
 

If the spine is approached from the front (also called the anterior approach), then the abdominal wall muscles can be split, the damaged discs can then be removed and replaced with metal blocks that cause the bones to fuse. There is no long term damage to the muscle that has been split and retracted for the minimally invasive anterior procedure.

 

Posterior minimally invasive spinal surgery

 

The posterior procedure can once again be performed by operating between muscles, rather than cutting through the muscles themselves.
 

Implants can be inserted via computer navigation, which enables us to get a complete visualisation of the bone and spinal cord on a monitor throughout the entire operation. This means that large retractors are not needed, as was the case in the past, and there is less tissue trauma as a result. This surgical approach is safer, as it allows easy insertion of screws and application of rods, to once again ensure a good fusion.
 

Spinal navigation has been a significant advance for the facilitation of minimally invasive spinal surgery.

 

Reduced recovery time

 

Because minimally invasive techniques do not disturb soft tissue and muscles in the way that traditional spine surgery does, generally these procedures can reduce post-operative discomfort, and the amount of time spent in post-operative recovery.
 

Returning to normal daily activity is a process which varies in each individual case. After spinal fusion, it takes time for the fusion to take and it is important to keep the spine straight. Patients will be shown how to move and reposition to aid this.
 

After surgery, a patient is monitored to ensure recovery is progressing as it should.

By Mr Sean Molloy
Orthopaedic surgery

Mr Sean Molloy is leading a consultant orthopaedic spinal surgeon with over 15 years’ experience who is renowned for his expertise, research and skill within the field of spinal surgery. He offers high-quality treatment for a range of spinal disorders including complex spinal surgery for scoliosis in children and adults in the form of spinal stabilisation. What’s more, he is uniquely qualified: he is the only person in the UK to hold dual qualifications as both a spinal surgeon and as a chiropractor.

Using this expertise, he aims to achieve the best possible results whilst making complex spinal surgery safer in a minimally-invasive fashion. He can perform minor procedures such as balloon kyphoplasty for myeloma, a condition of which he is he has a very keen interest in, and also spinal decompression and spinal fusion.

He’s a leader within his field in various ways. For example, he has held the post of clinical lead and clinical director of the spinal unit at the well-known Royal National Orthopaedic Hospital (RNOH) in Stanmore. He’s also widely recognised for his research, which has been published extensively and recognised across the globe. Furthermore, he is frequently invited to give keynote lectures, both nationally and internationally

As well as these accomplishments, he played a fundamental role in the introduction of spinal navigation surgery in the UK and he has been essential in teaching this technique to other generations of surgeons. At the RNOH, Mr Molloy has introduced spinal robotics and performed the first robotic-assisted surgery in the NHS. The RNOH has been chosen as the lead European training site in robotic spinal surgery, meaning that he will be leading the training of UK and European surgeons within this speciality.

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