Instrumented
Minimally Invasive Spine Surgery (MIS)

What Does Instrumented Mean

Instrumented spine procedures are procedures that utilize implants such as rods, plates, screws, cages, hooks, and interbody devices to stabilize the spine. Depending on the type of procedure, a variety of instrumentation can be used to ensure the patient has a successful outcome.

In minimally invasive spine surgery, smaller incisions are created, avoiding muscle and soft tissue. In these procedures, instrumentation specifically designed for minimally invasive spinal procedures are used like endoscopes that permit surgical maneuvers to be performed through small incisions.

"A leading provider of MIS surgery"

Beginning with the ALIF procedure early in his practice, Dr. Kerner has continued to train on contemporary technologies that will best benefit his patients. Currently, he and his OR team employ a variety of radiation reduction and minimally invasive technologies designed to treat his patients with the least disruptive and safest techniques with the goal of providing the patient the best possible surgical solution and quickest recovery time. As with any new surgical innovation, it is important to have a patient and practical approach to learning the benefits and properly training on the procedure. Dr. Kerner, as a prudent early adopter of these technologies, is recognized as a leading provider of MIS surgery in the Hampton Roads area which results in a combination of providing state of the art patient care with outstanding patient outcomes.

What is Minimally Invasive Spine Surgery?

Minimally Invasive Spine Surgery (MISS) is an alternative to conventional open surgical procedures that are performed to treat different spinal disorders, such as degenerative disc disease (DDD), herniated discs, and spinal stenosis. The main goals of MISS are decompression (non-instrumented) and stabilization (instrumented). Minimally invasive spine surgery offers a range of potential benefits, such as small incisions, less cutting through soft tissues like ligaments and muscles, less post-operative pain, and faster recovery.

How is it performed?

There are several techniques used in minimally invasive spine surgery. Each technique used involves a small incision rather than cutting through soft tissues like traditional procedures. In MIS surgeons use segmental tubular retraction that creates a small expandable tunnel that passes in between the muscles to allow access to the spine. A small camera, called an endoscope, allows surgeons to visualize the surgical area on a monitor during the procedure.

How long will it take to recover?

One of the main benefits of MIS is a faster recovery time for patients because surgeons are not creating large openings and cutting through soft tissues. The recovery time for this less invasive surgery varies depending on the technique used and what a patient is being treated for but many people who have undergone minimally invasive spine surgery have been able to return to normal activities within 6-8 weeks of the procedure.

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Instrumented Minimally Invasive Spine Surgery (MIS)