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Minimally invasive spine surgery (MISS) is sometimes called less invasive spine surgery. In these procedures, doctors use specialized instruments to access the spine through small incisions.Minimally invasive spine surgery was developed to treat spine problems with less injury to the muscles and other normal structures in the spine. It also helps the surgeon to see only where the problem exists in the spine. Other advantages to MISS include smaller incisions, less bleeding, and shorter stays in the hospital. Spine surgery is typically recommended only when a period of nonsurgical treatment — such as medications and physical therapy — has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered if your doctor can pinpoint the exact source of your pain, such as a herniated disk or spinal stenosis. Vertebroplasty & Kyphoplasty : Vertebroplasty and kyphoplasty are minimally invasive procedures performed to treat vertebral compression fractures (VCF) of the spine. These fractures, which can be painful and limit spine mobility, are commonly caused by osteoporosis, spinal tumors, and traumatic injury. Traditional treatments of bed rest, pain medication, and braces are slow to relieve the pain. By injecting bone cement into the fractured bone and restoring the vertebra height, these procedures offer patients faster recovery and reduce the risk of future fractures in the treated bone. Who is a candidate? Vertebroplasty or kyphoplasty may be a treatment option if you have painful vertebral compression fractures from: Osteoporosis (a depletion of calcium in bones) Metastatic tumor (cancer spread from another area) Multiple myeloma (cancer of the bone marrow) Vertebral hemangioma (benign vascular tumor) You may not be a candidate if you have: Non-painful stable compression fractures Bone infection (osteomyelitis) Bleeding disorders Allergy to medications used during the procedure Fracture fragment or tumor in the spinal canal Vertebroplasty and kyphoplasty will not improve old and chronic fractures, nor will they reduce back pain associated with poor posture and stooping forward. Traditional treatment used to involve waiting 4 to 6 weeks to see if patients improved on their own, but now it's believed that waiting allows the bone to harden, making vertebroplasty or kyphoplasty less effective. Many doctors are now suggesting vertebroplasty as soon as the first week after a fracture for some patients because the results are significantly better