Minimally invasive spine surgery (MISS) is the latest technology available to perform spinal surgeries through small, less than one-inch-long incisions. It involves the use of special surgical instruments, devices and advanced imaging techniques to visualize and perform the surgery through such small incisions.
Artificial cervical disc replacement is a spine surgery to replace a degenerated (deteriorated) disc in the neck with an artificial disc. The artificial disc, like the natural healthy disc, is used to replace the degenerated disc. It restores the height between the two cervical vertebrae, enlarging the neural foramen
Care of all patients requires close attention to the overall muscular and neurologic dynamics. The importance of this is highlighted when caring for the Athlete Spine. Non-operative treatment of spine conditions requires collaboration with physical therapists while surgery on the Athlete Spine requires protection of surrounding structures and minimizing tissue disruption as much as possible to preserve native anatomy.
Computer navigation can serve an active or passive role by actually performing the surgery or limiting the surgeon’s movements beyond a certain point, or by just providing real-time information that helps your surgeon make critical decisions on the mode of action. Imaging techniques such as computed tomography and fluoroscopy may be integrated into the system to facilitate pre-operative planning of the surgery, where a series of images taken before the surgery are displayed on a screen, with which your surgeon matches his/her moves intraoperatively.
Complex spine surgery is a procedure that involves six or more vertebrae of the spinal column, requiring six or more hours of surgery to correct a spinal deformity. Complex spine surgery is very difficult to perform and demands the highest level of patient dedication to be successful.
Trained in both Orthopaedic and Neurosurgical aspects of Spine Surgery, Dr. Melvin C. Makhni is the Director of Complex Spine Surgery in the Department of Orthopaedic Surgery at the Brigham and Women's Hospital. Dr. Makhni uses the most up-to-date techniques in minimally invasive, microscopic, motion-sparing, ultrasonic, and computer navigation surgery to optimize treatment success.
Dr. Makhni treats the entire spectrum of spine conditions. He has published techniques of fusion-less cervical spine surgery such as artificial disc replacements. His interest in the Athlete Spine led to his collaboration with Major League Baseball, from which he has presented his work to international audiences. He integrates minimally invasive and open techniques in scoliosis and spinal reconstructive surgery, and has published and presented innovative techniques to help patients suffering with spinal disorders such as the "Kickstand Rod" technique for coronal imbalance.