About Minimally Invasive Spine Surgery

What is it and how is it performed?

Minimally Invasive Spine Surgery Overview

Minimally invasive spine surgery (MISS) is spine surgery that avoids surgically traumatizing large spine muscles. Advantages MISS has over traditional spine surgery include:

  • Less postoperative pain
  • Less time spent in the hospital
  • Better response to physical therapy
  • Quicker recovery

Most spine procedures are performed minimally invasively because of these wonderful advantages. Patients who would like to find out if they are a MISS candidate are encouraged to make an appointment with a Carolina Orthopaedic and Neurosurgical Associates’ (CONA) spine specialist.

How is MISS performed?

MISS is performed on an outpatient or inpatient (1-3 night hospital stay) basis. A CONA specialist:

  • Gently retracts soft tissues
  • Carefully guides tiny instruments into the surgical site
  • Restores spine anatomy and function

Absorbable sutures close tissue layers. Removeable sutures close the skin. Total procedure time is 30 minutes to 2 hours depending on the MISS procedure.  

What conditions can MISS treat?

MISS may be recommended to treat:

  • Bone spurs
  • Cervical radiculopathy
  • Degenerative disc disease
  • Disc herniation
  • Facet joint syndrome
  • Spinal stenosis

MISS is recommended when these conditions are severe and do not respond to nonsurgical treatment options.

What is MISS recovery like?

MISS recovery is significantly shorter than traditional spine surgery recovery because large spine muscles are not surgically traumatized. Some patients return home after shortly after their procedure when they are alert and awake and their discomfort is controlled. Some patients may stay in the hospital for 1-3 nights. Follow-up appointments occur 2 weeks, 1, 3, 6 and 8 months after surgery. Total recovery time depends on the procedure performed. CONA specialists explain every recovery step during an initial MISS consultation.

Make an Appointment
with A Spine Specialist

MISS is an excellent treatment option that benefits many patients. Please make an appointment with a CONA specialist to find out if you are a MISS candidate.

what Our Patients Are Saying

Read Their Success Stories

I am happy with this practice all my questions are answered within 24 hours. Dr. Hoenig is great, his bedside manner is wonderful, he is very thorough, and makes personal calls after surgery to check on patients. I would definitely recommend to family and friends!

Tori S.

Dr. Hoenig

This has been one of my most positive experiences at a Dr's office. I was treated with respect and love. They made my surgical procedure less stressful and very positive.

Mindy U.

General Practice

These are the best group of doctors that myself & my family have ever been treated by in this field of medicine. They listen to how you feel instead of telling you how you feel. Thank you all for your caring & kindness.

Lori L.

General Practice

5 Decades Of Premier Orthopaedic & NeuroSURGICAL Care

3 Convenient Locations


1330 Boiling Springs Rd, Ste 1600
Spartanburg, SC 29303
Hours: 8:30 a.m. to 5:00 p.m.

Directions to Spartanburg


115 Deacon Tiller Ct.
Duncan, SC 29334
Hours: 8:30 a.m. to 5:00 p.m.

Directions to Duncan

Greenville Office

220 Roper Mountain Road Ext
Greenville, SC 29615
Hours: 8:30 a.m. to 5:00 p.m.

Directions To Greenville

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