There's an old fable about a man that had a very successful barber shop offering $10 haircuts. One day another shop opened across the street advertising "$5 haircuts". The established barber, after watching the results of his competitor, over a few days, erected a sign stating "We fix $5 haircuts".
The cautionary tale here is to analyze carefully any claims by spine surgical centers offering "minimally-invasive" spine surgery. When it comes to spine surgery it is possible to avoid "$5 haircuts" with a little prior analysis.
First, look beyond the claims of the number of surgeries "performed" to the percentage of successful surgeries, with success being defined as complete restoration of function, complete eradication of pain, and return to daily activities without impairment.
Secondly, try to gather as much information as you can on the actual mechanics of the surgery. How large is the incision? Some surgical centers, claiming that they are "minimally-invasive", actually work through incisions of four to six inches, rather than the 1/4 to 1/2 inch incision employed by true "minimally-invasive" surgical centers.
If a "minimally-invasive" surgical center claims that they can perform more than one surgery on your spine in a day or one or more surgeries only one day apart, be suspicious. "Minimally-invasive" not only applies to the size of the incision but also to the incremental nature of the surgical protocol. True minimally-invasive, advanced laser spine surgery separates each procedure by at least a week.
Lastly, look into the length of time each surgery takes. In this case, the longer the better. The full protocol for a minimally-invasive arthroscopic discectomy, for example, should take at least 1 1/2 to 2 hours. Anything less is likely to not be the full and proper protocol of a minimally-invasive arthroscopic spine procedure.
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