Minimal access spinal surgery: What are the advantages?

Written in association with: Mr Khalid Salem
Published:
Edited by: Carlota Pano

Minimal access spinal surgery is an alternative approach to traditional open surgical procedures that is carried out to treat spinal pathologies, with the goal of stabilising bones and joints and relieving nerve pressure.

 

Here to provide an expert insight into minimal access spinal surgery, including its advantages and its effectiveness, is Mr Khalid Salem, distinguished consultant orthopaedic spinal surgeon.

 

 

What is minimal access spinal surgery?

 

Minimal access spinal surgery is a technique implemented to achieve the same objectives obtained with open spinal surgery, but through minimal disruption (smaller incisions) of the muscle envelope that surrounds the skeleton and the nerves.

 

The idea behind minimal access spinal surgery is that with minimum trauma to the muscle, post-operative pain can be reduced and recovery can be improved.

 

What conditions can minimal access spinal surgery treat? Who is a good candidate for the procedure?

 

This technique can be used to treat most degenerative (wear-and-tear) spinal pathologies. There is no clear restriction to its use with regards to age.

 

How is minimal access spinal surgery performed?

 

The technique has been powered with the use of the microscope, tubular retractors, complex approaches in surgery and, more recently, the invention of endoscopic surgery also performed in the spine.

 

Is minimal access spinal surgery painful?

 

Like with all types of surgery, minimal access surgery causes pain, but the amount is much lower than what open techniques cause, helping with a quicker recovery and easier rehabilitation.

 

What are the possible complications of minimal access spinal surgery?

 

The complication profile of minimal access spinal surgery is no different from that experienced with open spinal surgery.

 

The advantage of minimal access spinal surgery is that it minimises post-operative pain and improves recovery. This must always be kept in mind when taking or making a decision on minimal access spinal surgery.

 

How successful is minimal access spinal surgery at treating spinal conditions and spinal pain?

 

As long as the diagnosis of the underlying pathology is accurate and the technique is able to achieve a good resolution of this pathology, the success rate of spinal surgery through a minimally invasive approach is as good as that of an open technique.

 

What is recovery like?

 

Recovery is where minimal access spinal surgery is at its best: reducing pain, making recovery easier, and leading to a quicker rehabilitation. It is one of its main advantages.

 

 

If you are considering minimal access spinal surgery and you wish to consult your options with an expert, do not hesitate to book an appointment with Mr Khalid Salem via his Top Doctors profile today.

By Mr Khalid Salem
Orthopaedic surgery

Mr Khalid Salem is a distinguished consultant orthopaedic spinal surgeon based in Nottingham, who specialises in all areas of spinal pathology including minimal access spinal surgery, neck surgery, deformity correction and sciatica. He is an expert in robot-assisted surgery, and favours evidence based methods for the treatment of adult spinal deformity, spinal trauma, tumours and degenerative pathology.

He is a consultant spinal surgeon for Spire Nottingham Hospital and Nottingham Woodthorpe Hospital. He is also a consultant spinal surgeon at The Centre for Spinal Studies and Surgery, a department made up of consultant spinal surgeons dedicated to spinal care and research, based at Queen's Medical Centre, Nottingham University Hospitals.

Mr Salem has an excellent educational background, aside from his doctorate in medicine, he is a member of the Royal College of Surgeons of both Edinburgh and Glasgow and a fellow of the Royal College of Surgeons of England. After achieving these qualifications, he went on to achieve a European spine surgery diploma from Eurospine Foundation in Switzerland, before completing spine surgery fellowships in the UK and Canada. 

In addition to his numerous consultant roles, Mr Salem is the head of service and advanced spinal surgery fellowship director for The Centre for Spinal Studies and Surgery. He is a member of reputable professional organisations such as the British Orthopaedic Association, the Medical Defence Union, The British Association of Spinal Surgeons and The North American Spine Society.

His expertise also extends to the fields of research and education, he has published a number of papers and chapters in international peer-reviewed journals and books.

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