![]() ![]() The quality of these implants - like screws, rods, and cages - has greatly improved in quality and material in recent years, Than says. If they don’t slip out of place when you bend, fusion surgery may not help your pain, he says. Your surgeon should test you to see how unstable your back joints are when you bend forward or backward. ![]() But surgeons use implants to keep your joints in the right position, Gleiber says. Minimally invasive surgery can correct curved spines or unstable back joints. ![]() When you cut into the ligament, it releases the spine and straightens the person back up. You see it a lot in older people, Than says. ![]() It’s used to correct a condition called severe kyphosis. Minimally invasive surgery can also be performed through your side, offering better access to tissues, says Khoi Than, MD, a neurosurgeon at Oregon Health and Science University in Portland. The doctor can see the bone and tissue up close. Image guidance tools, like tiny CT scanners or microscopes on the end of the retractor, project video on a screen in the operating room. Your surgeon inserts a device called a tubular retractor into the tiny hole and down your spinal column, he says. We can do all of this with smaller incisions now,” Cornett says. “Sometimes, you can also put a tiny cage in, or a disk spacer. Your surgeon inserts rods or screws to hold the damaged joint to the ones around it. Fusion surgery can shore up unstable joints in your spine. Microdiscectomy, where the doctor trims down the bulging bump on a disk, is less aggressive than it used to be, Cornett says.
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