Minimally Invasive Spine Surgery (MISS) Treatment in St. Louis, MO

Minimally Invasive Spine Surgery (MISS)

What the service is

MISS uses small incisions and muscle-sparing techniques to treat spine problems with less disruption to healthy tissue. Using tubular retractors and live X-ray guidance, your surgeon works through a narrow corridor to reach the target area—often for microdiscectomy, decompression (laminectomy/foraminotomy), or stabilization procedures—aiming for effective relief and a smoother recovery compared with traditional “open” surgery.

What it can help with

MISS is designed to relieve pressure on irritated nerves, stabilize painful or unstable segments, and reduce inflammation that limits standing, walking, sleep, and daily activity. Many patients experience less blood loss, smaller scars, and a faster return to normal routines.

What it treats
  • Herniated or bulging discs causing cervical or lumbar radiculopathy (sciatica/arm pain)
  • Spinal stenosis from bone and tissue overgrowth that crowds the nerves
  • Spondylolisthesis and painful instability that worsen with motion
  • Select cases of degenerative disc disease requiring stabilization

Who needs this treatment

MISS is considered when symptoms persist despite conservative care—such as activity modification, physical therapy, laser therapy, or targeted injections—or when significant nerve compression or progressive weakness requires timely relief. During your consultation, we’ll review your history, exam, and imaging to confirm whether a minimally invasive approach is the safest, most effective option for your specific condition.

The benefits
  • Smaller incisions with muscle-sparing access
  • Typically less blood loss and post-op discomfort
  • Shorter hospital stays and a stepwise return to activity
  • Precise, imaging-guided treatment at the problem source
  • Often lower infection risk and faster functional recovery

How we can help as a practice

At Orthopedic Spine Institute of St. Louis, we start with a conservative-first plan and reserve surgery for when it’s truly appropriate. If you’re a candidate for MISS, we’ll walk you through the procedure, recovery milestones, and restrictions in plain language. Your plan includes pre-op preparation, coordination with therapy, and clear follow-ups so you know exactly what to expect. Our team verifies insurance in advance and offers same-week appointments when available.

Ready to talk through your options?

Answer a few quick questions and we’ll route you to the right visit type. You can also call our St. Louis office or book online.

Don't Let The Pain Control Your Life

Back or neck pain? Start with a conservative plan—30+ years of spine care in St. Louis, same-week appointments.