Minimally invasive spine surgery: current advantages, limitations, and future directions

Minimally invasive spine surgery (MISS), supported by advancements in endoscopic systems, tubular retractors, lateral access corridors, image-guided navigation, and robotic assistance, has progressively expanded its role in the management of a broad spectrum of spinal disorders. These approaches were developed to limit muscular disruption and soft tissue damage while maintaining clinical and radiographic outcomes comparable to those of conventional open techniques. Current evidence across multip