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Minimally Invasive Orthopedics & Pain Management

We offer minimally invasive orthopedic and pain management treatments that reduce recovery time, relieve pain, and restore mobility with precision and care.

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Minimally Invasive Spine Surgery

Traditional open spine surgery requires large incisions that cause significant postoperative pain and take time to heal. Robere Missirian, MD, and the Vital Orthopedic & Spine Institute team offer an alternative — minimally invasive spine surgery (MISS). At all of their locations in Florida, the team first offers patients conservative treatments, but if these are unsuccessful, they can perform MISS. To find out more, call Vital Orthopedic & Spine Institute today or book an appointment online.

What is minimally invasive spine surgery (MISS)?

MISS techniques use one or more small incisions to access your spine and perform repairs that address back and neck pain.

Traditional spine surgery uses open techniques, which require large incisions that cut through your muscles, causing substantial tissue damage. MISS causes far less damage, offering benefits such as:

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You’re also less likely to need a prolonged hospital stay after your surgery and may be able to return home after one or two days.

Why might I need MISS?

MISS might be necessary if you have a back or neck problem that isn’t responding to more conservative treatments. The conditions that are most likely to require MISS include:

The Vital Orthopedic & Spine Institute team initially treats these problems with non-surgical options, such as physical therapy, medication, and activity modification.

More persistent cases might require epidural corticosteroid injections, facet joint injections, or nerve blocks. Radiofrequency ablation is another minimally invasive option that deactivates the pain nerves in your neck or lower back.

If your pain doesn’t improve using these methods, MISS is likely to be the next step.

What happens when I have MISS?

To perform MISS, your surgeon makes small incisions in your body, either in your back (posterior approach), front (anterior approach), or side (lateral approach). They insert hollow tubes called retractors into the incisions that push the muscles aside to create a channel that accesses your spine.

Your surgeon might use a lighted magnification device or an endoscope (tiny camera on a flexible tube) to see the spine in detail. They can carry out the surgery using these images and specialized instruments that go through the same or other small incisions.

Type of surgery that can use MISS techniques include:

Recovery time after MISS depends on factors like the type of surgery, your age, and general health. However, you should recover more quickly than you would after open surgery.

To find out if you’re a good candidate for MISS, call Vital Orthopedic & Spine Institute today or book an appointment online.

Comprehensive Evaluation and Diagnosis

The treatment process begins with a thorough assessment of the patient's medical history, physical examination, and diagnostic imaging (X-rays, MRIs) to identify the underlying orthopedic issue, such as arthritis, tendonitis, or ligament injuries.

Minimally Invasive Procedures

Based on the diagnosis, targeted treatments like joint injections, ultrasound-guided therapy, or arthroscopy are performed. These procedures are designed to minimize surgical trauma, reduce recovery time, and effectively address the musculoskeletal issues with minimal risk.

Pain Management and Rehabilitation

Post-procedure, a tailored pain management plan is implemented, which may include medications, physical therapy, and regenerative treatments like PRP or stem cell injections. Ongoing rehabilitation ensures faster recovery, improved mobility, and long-term joint health.

FAQs About Minimally Invasive Orthopedics & Pain Management

There are many questions about the service, we have selected frequently asked questions about this service. If you do not see your answer, please contact us.

What is minimally invasive orthopedic surgery?

How long is the recovery time for minimally invasive orthopedic procedures?

Can minimally invasive techniques be used for joint replacements?

Is physical therapy necessary after minimally invasive procedures?

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