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January 11, 2022 Uncategorized

Minimally invasive spine surgery (MISS) is a form of spinal surgery in which the surgeon uses minimally invasive tools and techniques to access the spine. The approach is designed to reduce risks and complications. In the United States, it is performed by anesthesiologists, general surgeons, and orthopedic surgeons with advanced training in spinal surgery. It is an alternative to open spinal surgery. As a result, minimally invasive surgery is growing in popularity.

This growth stems from new technology, the development of minimally invasive spinal surgery techniques, and improved search for the lowest surgical risks. In fact, the minimally invasive spine surgery technique has several advantages over conventional open spinal surgery to achieve excellent clinical results and functional recovery.

The main benefits of minimally invasive spine surgery are as follows.

Smaller injury to the neurovascular bundle

With minimally invasive surgery, the neurovascular bundle is spared. The neurovascular bundle is a cluster of nerve fibers (the nerves) and blood vessels that travel together through the spine and are responsible for maintaining control of basic bodily functions such as breathing, digestion, and circulation. Because of this, perioperative neurological complications are rare in minimally invasive procedures, especially when compared to open spinal surgery.

Easier recovery process

With minimally invasive spine surgery, a single incision is made as opposed to multiple incisions made during conventional open procedures. In addition, the presence of a spinal block decreases pain during recovery and increases patient comfort by immobilizing adjacent tissue. The more nerve roots and spinal nerves that can be accessed in one operation, the faster the patient can recover after surgery. Therefore, minimally invasive spinal surgery has a shorter recovery time than conventional open spine surgery because there are fewer surgical wounds or portals of entry in the body that take longer to heal or close.

Less tissue trauma

The surgeon does not have to retract muscle or bone as much as with an open technique with the minimally invasive approach. As a result, there is less tissue trauma during surgery, and patients recover faster. In fact, minimally invasive spine surgery reduces the surgical time and the recovery time from a week to three weeks. Meanwhile, minimally invasive spinal surgery reduces postoperative pain, which is one of the most important clinical complications after spine surgery.

Less blood loss and transfusion

Compared to an open procedure, minimally invasive surgery reduces blood loss during the operation and the requirement for blood transfusion. This is because less tissue trauma during the procedure leads to less bleeding. The average amount of blood loss in minimally invasive spine surgery is none or low, which is less than the open procedure.

In fact, minimally invasive spinal surgery uses a single-use vascular closure system, and wound packing with minimum surgical incisions helps to minimize hematoma accumulation. In addition, with minimally invasive surgery, the thoracic or abdominal cavity is not opened. This means less air and fewer blood clots in the chest. Compared to open surgery, minimally invasive spinal surgery results in fewer transfusions.

Less morbidity

Minimally invasive spine surgery has a lower incidence of postoperative complications than open spinal surgery does. In addition, the short hospital stay reduces the likelihood of complications after the operation, and patients can return home sooner. Therefore, minimally invasive spine surgery is associated with fewer complications and less cost, resulting in better quality for everyone concerned.

Less pain management

During the minimally invasive surgery, less pain medication is needed. Usually, only a topical anesthetic is used during the entire surgery. Pain and pain medications may still be needed after the surgical procedure, but minimally invasive spine surgery can be much less stressful for patients than open spinal surgery. In fact, minimally invasive spine surgery is the safest and most comfortable form of spinal surgery because patients don’t have to endure a lot of pain.

Shorter hospital stay

Because a minimally invasive procedure is performed in two or three days rather than over several days, patients have fewer complications and shorter recovery times. This is especially beneficial for those who have been injured in a car accident, a fall, or a sports injury. In fact, minimally invasive spine surgery reduces patients’ hospital stay by about 35% compared to open spinal surgery. In addition, minimally invasive spine surgery can significantly shorten the patient’s stay in the hospital following surgery by reducing the need for postoperative diagnostic tests, like CT scans or MRI.

Lower infection rates

Open surgery is more likely to result in open wounds or cuts, all of which provide ample opportunity for bacteria to infect the patient. Minimally invasive spine surgery greatly reduces the number of cuts, thereby reducing bacteria’s chance to infect the surgery site. In addition, the smaller incisions used in minimally invasive surgery reduce the risk of post-op complications so that patients can recover more quickly after surgery.

Less scarring

The actual surgical incisions caused by minimally invasive spine surgery can be completely hidden for some patients. In most cases, scars from minimally invasive procedures fade away within two months of surgery. As for open spinal surgery, there are still visible scars on the patients’ back. In addition, because of the smaller and numerous incisions, there is less bleeding and swelling, reducing scarring.

Can be performed at an outpatient surgery center

Minimally invasive spine surgery can typically be performed in an outpatient setting. This is a major benefit for patients because it eliminates the need to stay in the hospital overnight. In addition, patients who undergo minimally invasive spine surgery in an outpatient setting can often go home the same day as their procedure.

Minimally invasive surgery has been clinically effective for treating several spinal disorders, including degenerative diseases such as disc herniation and compression fractures. Minimally invasive surgery is likely to continue to grow in importance in spine surgery due to increased recognition of early degenerative changes in the cervical and lumbar spines that can be treated with minimally invasive techniques. You can visit to learn more about minimally invasive spine surgery.

Dr. Juris Shibayama, 300 StoneCrest Boulevard #300 Smyrna Tennessee 37167, 615 267 6600

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September 22, 2021 Uncategorized

There are many types of spine surgery, and the decision to seek a specific treatment largely depends on the condition you have. Most professionals recommend trying non-surgical treatments first, especially if the required surgical procedure is complex and has a prolonged healing period. If you proceed with spinal surgery, you must adhere to some dos and don’ts to ensure a quick and thorough recovery. But first, what does spinal surgery really entail?

Spine Surgery To Treat Leg Pain

If you experience severe pain in the leg, also known as radiculopathy, you may have a pinched nerve to thank for it. When you have leg pain, medical professionals usually recommend 4 to 6 weeks of conservative treatment. If the pain does subside within this time frame, they may recommend an MRI scan or similar imaging study to determine the presence of nerve pinching and its cause.
Most back surgery procedures for a pinched nerve are minimally invasive and can take one to three weeks to fully recover. We may recommend lumbar decompression spine surgery or injections to take pressure off the pinched nerve when you come to us. Decompression spine surgery has an impressive success rate, with most patients experiencing significant pain relief afterward.

Spine Surgery For Low Back Pain

Spine surgery to treat low back pain is usually more complex than other types of back surgery and carries a longer healing time. Also, it is crucial to note that the success rate for surgery for low back pain is lower than that for leg pain. Fusion surgery may be recommended after conservative treatment of 6 to 12 months without significant pain relief.

Recovery After Spine Surgery

Patients often experience symptoms for years before seeking medical help and may overlook the pain because it progresses very slowly. Symptoms of lower back pain and leg pain in persons older than 55 years usually stem from osteoarthritis or degenerative arthritis which causes the spinal canal to narrow and destabilizes a vertebral segment. Basically, the pain caused by these back conditions is aggravated by walking and can be improved with sitting. A professional may recommend lumbar decompression with spine fusion or without if a patient’s low back pain progresses so much that it impedes their ability to function.
It can take anywhere between three to twelve months to fully recover from spine fusion surgery. Depending on your condition, some spinal surgeries have a pain relief success rate of up to 90%. People suffering from persistent low back pain may also be able to receive artificial disc surgery or total disc replacement as a treatment option.

Emergency Spine Surgery

Most spine surgeries to treat severe leg pain or low back pain are not necessarily an emergency. However, some symptoms indicate a more serious medical condition and may necessitate emergency medical attention. They include:

  • Severe, persistent back and abdominal pain, which could be a sign of an abdominal aortic aneurysm
  • Sudden bladder or bowel incontinence (the inability to hold waste), or both. Also, persistent weakness in the legs. These could be symptoms of Cauda Equina Syndrome, a condition where nerves at the end of the spinal cord swell due to extreme pressure.

If you or a loved one exhibits any of the symptoms above, it would be best to seek immediate medical assistance.

Dos and Don’ts After Spine Surgery

The thought of undergoing spine surgery may be quite intimidating. However, you will find that many pain complications can be relieved or treated successfully with minimally invasive surgical procedures with short recovery periods. Whether you undergo a straightforward procedure like laser spinal surgery or a more complex treatment such as spinal fusion, taking special care afterward to ensure recovery and prevent injury is crucial.

Dos During Spine Surgery Recovery

  • Be patient with yourself

You must manage your expectations regarding what your body can and cannot do after your surgery. For instance, you may not be able to perform basic cleaning right after the procedure, and you shouldn’t try to. Instead, you should get lots of sleep at night and try to move about regularly but cautiously during the day to promote gradual healing.

  • Follow doctor’s orders to the latter

When it comes to your health, the doctor knows best. As such, it would be in your best interest to follow all doctor’s orders including prescribed medication and medical equipment such as back or neck braces. These braces aid in supporting and stabilizing your body as you recover. Without them, you may put unnecessary strain on your spine and impede recovery.

  • Ask for help

We recommend seeking help with errands and meal preparation after spine surgery, whether you live alone or with someone else. You can even hire a private healthcare provider if you need more assistance.

Don’ts After Spine Surgery

  • Don’t bend over

Professionals recommend that you refrain from bending over for at least several weeks after your spine surgery. As such, you may need to place items you often need within arm’s reach to avoid straining your back. Flip-flops come in handy as an alternative to shoes that need tying, and you can buy an easy-to-use “grabber” to help too.

  • No Alcohol

Alcohol is a depressant that can trigger a bad mood and make your recovery more difficult. Also, alcohol can react with your medication, causing adverse body reactions.


  • No Exercise

Save for gentle movements recommended by your doctor, you should refrain from any exercise or strenuous activities that might affect your recovery or lead to injury.
While spine surgery is an effective treatment for low back and leg pain, it is not always the answer. If you or your loved one has any spinal issues, book an appointment with us at

Dr. Juris Shibayama
300 StoneCrest Boulevard #300
Smyrna Tennessee 37167
615 267 6600

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April 5, 2020 NewsUncategorized

Telemedicine Appointments

Dr. Shibayama is now offering telemedicine consults for evaluation of spine disorders which may require surgery.  If your provider is not available or you just don’t want to travel to your spine surgeon’s office, Dr. Shibayama can see you virtually via telemedicine.

You can be safe at home and save travel time to and from the office.  No longer will you have to sit in the waiting room of his office for your appointment.  You can just relax at home with your mobile device or computer ready to receive your telemedicine visit with Dr. Shibayama.

Telemedicine consults are available to anyone, anywhere in the United States and even the world. Even if you are already established with another spine surgeon, Dr. Shibayama is available for a visit for any issues you may be having.

If surgery is recommended, the number of visits to the office and hospital can be reduced to the bare minimum to keep you as safe as possible at home while preparing and/or recovering from surgery.

If you have been told you need spine surgery, our office is happy to conduct a brief telemedicine visit with you to review your condition and any associated imaging, such as an MRI, to help reassure you that spine surgery is necessary and to provide you with any alternative options including minimally invasive surgical solutions.

Schedule a Virtual Visit

Scheduling a virtual visit is easy.

  1. Call to Schedule an Appointment 615 – 267 – 6600
  2. Explain your request for a virtual visit
  3. Dr. Shibayama and his staff will schedule a convenient date and time for your Virtual Visit

orthopedic spine surgeon

In Short Words

Dr. Juris Shibayama is an orthopedic surgeon in Smyrna, Tennessee and is affiliated TriStar StoneCrest Medical Center. He received his medical degree from University of Illinois College of Medicine. He did his orthopedic residency training at the University of Miami/Jackson Memorial Hospital in Miami, FL. He then completed a one year fellowship dedicated exclusively to spine surgery at Rush University Medical Center in Chicago, IL. He has been in practice 13 years.

© 2021 | Juris Shibayama, M.D., Orthopedic Spine Surgeon