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