Minimally invasive spine surgery (MISS) was developed to minimize the morbidity associated with large, open surgical approaches, but questions over its benefits and safety. Smith and Fessler review the evidence to support MISS over open approaches for decompression of lumbar stenosis, and highlight new applications of these minimally invasive techniques. Issues with the adoption of MISS, criteria for acceptance of these procedures, and the need for better training and education on MISS are also discussed.
- Zachary A. Smith
- Richard G. Fessler
