Minimally Invasive Spine Surgery in North Carolina

If treatment for a neurological condition requires physical access to the spine, minimally invasive spine surgery at North Carolina Neurosciences & Spine Center might be the best option. Our board-certified neurosurgeons utilize this specialized technique to minimize the need for more invasive treatments and facilitate a quicker, more comfortable recovery.

 

What is Minimally Invasive Spine Surgery?

Minimally invasive spine surgery refers to the same surgical procedures that can be performed using traditional open techniques, but with a smaller incision. Therefore, this approach is often referred to as “minimal access surgery,” rather than “minimal surgery.” Specially-designed instruments are utilized in minimally invasive spine surgery, allowing access to the spine through small incisions. This results in reduced muscle dissection, decreased morbidity, and less exposure-related trauma.

 

Who is a Good Candidate for Minimally Invasive Back Surgery?

A spectrum of conditions can be addressed using minimally invasive spine surgery, including:

However, candidacy for minimally invasive spine surgery isn’t universal. Accurate diagnosis of these conditions typically requires advanced imaging studies, such as MRI scans to visualize soft tissue structures and CT scans to examine bone detail. These diagnostic tools help your neurosurgeon determine the exact location and severity of your spinal condition, ensuring that minimally invasive techniques are appropriate in your specific case.

He or she will work with you to determine the most appropriate treatment pathway for your specific situation. It’s important to note that minimally invasive surgery is selected only when it can achieve similar or improved outcomes compared to open surgery.

How Minimally Invasive Spine Surgery Is Performed

Although each patient’s circumstances vary, many minimally invasive procedures can be performed on an outpatient basis. If a hospital stay is warranted, it generally spans fewer than three days.

The specifics of the procedure vary based on the targeted area of the spine. Neurosurgeons who employ minimally invasive techniques typically make smaller incisions compared to those used in standard open procedures. They use a small camera attached to an endoscope (a slender tube) to visualize the operative area. 

Recovery After Minimally Invasive Spine Surgery

Recovery for this type of procedure is usually faster and more comfortable than from traditional open procedures. Most patients experience reduced post-operative pain and can often begin light activities within a few days. Physical therapy often begins earlier in the recovery process, enabling patients to regain strength and mobility more quickly.

Why Choose North Carolina Neurosciences & Spine Center

At North Carolina Neurosciences & Spine Center, we leverage advanced technologies to maximize treatment outcomes and rely on an expert team to ensure the highest quality of care. Our highly skilled neurosurgeons collaborate with neurohospitalists, neurologists, and rehabilitation medicine professionals to provide comprehensive patient care.

Additionally, we utilize cutting-edge digital imaging technologies, including CT, MRI, and X-ray, to increase precision and accuracy in diagnoses and treatment options, while ensuring safe, efficient, and effective care for all our patients.

 

Benefits of Minimally Invasive Spine Surgery

  • Smaller scars
  • Reduced pain and less disturbance to the surrounding spinal muscles
  • Shorter hospital stay
  • Accelerated recovery and quicker return to normal activities
  • Lower infection rates
  • Diminished blood loss
  • Reduced need for narcotics
  • Lower costs, often stemming from outpatient procedures

 

Minimally Invasive Spine Surgery FAQs

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Can I drive myself home after a minimally invasive spine procedure?

No, you should not drive immediately after any spine surgery due to the effects of anesthesia and any pain medication. You'll need to arrange for someone to drive you home and stay with you for at least the first 24 hours following your procedure.

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How soon after surgery will I know if it was successful?

While some patients experience immediate relief from certain symptoms, such as leg pain, full results may take several weeks or months to become apparent. Bone healing and tissue recovery continue for months after surgery, so your surgeon will monitor your progress through follow-up appointments and imaging studies.

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Will I have any lifting restrictions after minimally invasive spine surgery?

Yes, most patients will have temporary lifting restrictions, typically avoiding anything over 10-15 pounds for the first few weeks. Your neurosurgeon will provide specific guidelines based on your procedure, and restrictions will gradually be lifted as your spine heals and strengthens.

Schedule Your First Appointment

If you or your primary care physician believes you have a condition that would be best treated with minimally invasive spine surgery, contact North Carolina Neurosciences & Spine Center today to set up an appointment. Our highly experienced neurosurgeons would be delighted to meet with you in West Raleigh, Clayton, Pineville, Holly Springs, or Cary.

Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.