Center for Minimally Invasive Surgery

3837sz300Minimally invasive surgery (MIS) is a new series of technologies that allow surgeons to use smaller incisions, and at the same time, obtain similar results to standard spine surgery techniques that have been the standard of care for many years. MIS techniques utilize similar methods of decompressing and stabilizing the spine, as compared to traditional spine surgery, but gives the added benefit of less muscle and tissue damage at the time of surgery. It is a skill set that some surgeons possess, which allows them to alleviate patient’s spine problems, without as much damage.

Small skin incisions, muscle dilators, tubes, special cameras and other special surgical instruments are used for decompressing and stabilizing the spine. Xray is used more readily by MIS surgeons, who use it to localize where they are in the spine. Experienced MIS surgeons do many of their surgeries through small incisions.
The techniques and instruments that we use are the same techniques used at all the major spine centers across America. Some centers use “lasers” in addition to the standard MIS instruments, but most major spine centers DO NOT use lasers, as there is no research to suggest that they are beneficial in spine surgery. We do not use lasers at Neuroscience Specialists, because it is not a proven treatment.

Many patients that we have operated on have benefited from MIS. Some patients have such bad spine disease, that MIS is not possible, and therefore, standard open techniques are used. Your MIS physician can make this determination.

As with standard spine surgery, the risks are similar for many of the surgeries. Please refer to the link below for detailed list of the risks and benefits of MIS.

This minimally invasive procedure is used to remove overgrown vertebral bone and soft tissue to relieve the compression of nerve roots in the lumbar spine. It is performed through a small incision on the back.


This minimally invasive procedure is used to remove a degenerated disc to relieve the compression of nerve roots in the lumbar spine. It is performed through a small incision on the back.


Unlike traditional back surgery, XLIF® is performed through the patient’s side. By entering this way, major muscles of the back are avoided. This minimally-invasive procedure is generally used to treat leg or back pain caused by degenerative disc disease. It can be performed on an outpatient basis.


American Association of Neurological Surgeons – Minimally Invasive treatment

Surgeons using minimally invasive approaches:

Fadi Nasr, M.D.
Brian Snell, M.D.
J. Bridger Cox, M.D.
Robert J. Wienecke, M.D.
Benjamin T. White, M.D.

Minimally Invasive Presentation – Dr. Fadi Nasr