Your Physician

Vivek Sharma, MD

Vivek Sharma, MD

Minimally Invasive Spine Surgery, Orthopedics

Minimally Invasive Spine Surgery

The Minimally Invasive Spine Surgery (MIS) at HaysMed specializes in the comprehensive treatment of diseases and disorders of the cervical, thoracic and lumbar spine, including musculoskeletal problems, disc problems and degenerative conditions, spinal deformities and fractures.

We offer complete management of spine conditions including low back pain and disc problems and spinal injuries. Treatments include MIS, spinal reconstruction and fusions procedures. Each patient is carefully evaluated to determine the best treatment or procedure that meets their specific needs. If surgery is required we are able to evaluate you for minimally invasive spine surgery.

Advantages of MIS

*Smaller incisions (sometimes as small as 2 centimeters)
*Minimal scarring
*Shorter hospital stays, at times requiring no overnight stay
*Reduced muscle damage
*Reduced risk for future surgery
*Reduced risk of infection
*Less postoperative pain,
requiring less narcotic pain medication
*Faster recovery and less rehabilitation
*Minimal blood loss

What is Minimally Invasive Spine Surgery (MIS)?

Minimally invasive spine surgery (MIS) is sometimes called less invasive spine surgery or microscopic surgery. In these procedures, doctors use specialized instruments to access the spine through small incisions.

In a traditional, open surgery, the doctor makes an incision that is 5 to 6 in. long and moves the muscles to the side in order to see the spine. One of the major drawbacks of open surgery is that the pulling or “retraction” of the muscle can damage the soft tissue. Although the goal of muscle retraction is to help the surgeon see the problem area, it typically affects more anatomy than the surgeon requires. As a result, there is greater potential for muscle injury, and patients may have pain after surgery that is different from the back pain felt before surgery. This can lead to a lengthier recovery period.

Image guided minimally invasive spine surgery is the safest and most precise technique for doctors performing minimally invasive spine surgery. Using sophisticated imaging tools that produce images all around your body, the doctor is able to produce a virtual image of the spine that shows screw placement and trajectory as he operates. This allows him to perform much more precise surgeries. The use of electronic spinal monitoring allows effective and safe identification of the spinal nerves adjacent to the disc spaces, which are then protected.

Because minimally invasive spine surgery (MIS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery and a faster recovery.

Degenerative Disc

Deterioration of one or more intervertebral discs in the spine.

Herniated Disc

Discs are “jelly” in the center covered by fibers on the outside. When the “Jelly” pushes out through the fibers could result in disc herniation.

Lumbar Spinal Stenosis

Narrowing of the space for spinal nerves.

Spinal Scoliosis

Sideways Curvature of the spine.


Pain caused by compression on the sciatic nerve. Symptoms can include pain, numbness, tingling or weakness.

Spinal Instability

Discs may slip and the vertebral bones may become unstable with movement.

Vertebral Compression Fractures

Compression on the vertebrae causing collapse of the bone in the spine. Typically caused by osteoporosis, can also be a result of trauma or metastatic tumors to the spine.

Pinched Nerves

Pressure applied to the nerve. Pinched nerves could cause pain, numbness, tingling or weakness in extremities.

Neck Pain

Pain from the base of the neck up into the back of the head. Could be accompanied with arm pain, numbness or tingling.