Conditions we treat

Understanding Minimally Invasive Spine Surgery: Advanced Techniques for Faster Recovery and Reduced Pain
Minimally invasive spine surgery (MISS) is a modern surgical approach offered at Hess Spine and Orthopedics that uses small incisions and advanced technology to treat spinal conditions with less tissue damage, reduced pain, and faster recovery times. MISS includes a variety of procedures, including endoscopic surgery, robotic-assisted techniques, and targeted decompression and fusion surgeries. Our experienced spine surgeons perform these procedures with precision to help patients return to their daily lives with minimal disruption.
Common Minimally Invasive Procedures
Microdiscectomy – Removes herniated disc material pressing on nerves through a small incision.
Minimally Invasive Lumbar Fusion – Stabilizes vertebrae in the lower back using small instruments and guided imaging
Robotic-Assisted Spine Surgery – Enhances accuracy for screw placement and alignment during fusion or deformity correction
Endoscopic Spine Surgery – Uses a tiny camera and instruments to treat conditions with minimal tissue disruption.
What to Expect
Before the Procedure
- Full evaluation including imaging and medical history
- Discussion of surgical options and expected outcomes
- Preoperative instructions (medications, fasting, etc.)
During the Procedure
- General or regional anesthesia
- Small incisions with muscle-sparing techniques
- Real-time imaging and robotic guidance (when applicable)
- Precise treatment of affected spinal structures
After the Procedure
- Observation and monitoring post-surgery
- Pain management with minimal medication
- Physical therapy typically begins within days
- Return home often the same day or within 24 hours

Why Choose Hess Spine and Orthopedics
- Fellowship-trained spine surgeons with expertise in MISS
- Robotic-assisted and image-guided technology for precision
- Personalized treatment plans based on your spine condition
- Trusted providers for non-invasive and surgical spine care across New Jersey
Related Services
We also offer treatment and surgical solutions for:

FAQ
What conditions qualify for minimally invasive surgery?
Conditions like herniated discs, spinal stenosis, degenerative disc disease, and certain deformities can often be treated using MISS techniques. Your surgeon will determine if you’re a good candidate.
Is robotic spine surgery safe?
Yes. Robotic systems assist surgeons with precise navigation, improving accuracy and reducing the risk of complications. They are used in combination with the surgeon’s expertise.
How long is the recovery after MISS?
Most patients return to light activity within a few days and resume full activity within a few weeks, depending on the procedure and individual healing factors.
Will I need physical therapy after surgery?
Yes, physical therapy plays an important role in restoring mobility and strength after MISS. Programs are customized to each patient’s recovery goals.
Serving patients in Old Bridge, Clifton, Sewell, Union, Paramus, Raritan, Wayne, Avenel, and Totowa.