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Understanding the problem

Scoliosis refers to an abnormal curve of the spine or backbone. The spine should appear straight when looking from the front but people with scoliosis develop additional curves to either side, or the bones of the spine twist on each other like a corkscrew. Scoliosis is more common in girls than boys, and can be seen at any age. It usually develops gradually, is not painful and may also be hereditary, however there is no correlation between the severity of the curve from one generation to the next. As the curvature becomes more severe though, scoliosis may cause deformities in the body, which may have a significant impact on quality of life and function.

Signs and Symptoms

Sideways curvature of the spine – when viewed from the rear

Uneven shoulders / hips / waist

A shoulder blade is more prominent than the other

Reduced Function

Curves may be “C” or “S” shaped

Technologies used

Minimally Invasive Single Position XLIF Surgery

The XLIF (Lateral Lumbar Interbody Fusion) technique assesses the spine from the side of the body, avoiding retraction of internal organs and major blood vessels. This causes minimal internal disruption and thus results in an easier post-op recovery for the patient. XLIF utilizes the highly integrated MAS© (Maximum Access Surgery) System which provides significant benefits to patients, including reduced surgery time, less blood loss, shorter hospital stays, and significantly faster recovery time.

The XLIF approach does not require back muscle and bone dissection or nerve retraction; it also allows for a more complete disc removal and predictable implant insertion, compared with traditional posterior procedures. XLIF also does not require the delicate abdominal exposure or present the same risk of vascular injury as traditional anterior procedures.

Because the procedure is less disruptive than conventional posterior or anterior surgery, most patients are able to get up and walk around within a day of the surgery.

RISKS of alternative technologies

ALIF: From the front

  • Requires delicate abdominal exposure
  • Same level of risk as traditional anterior procedures for vascular injury

PLIF: From the back

  • Cutting major back muscles to access the spine
  • long hospitalization
  • major blood loss
  • long recovery time

XLIF from the side

  • 38% lower OR Time
  • 73% decrease in Blood Loss
  • 55.6% decrease in Hospital Stay
  • Faster Return to normal activities

Statistics obtained from ALIF vs XLIF of 202 patients (87 ALIF, 115 XLIF)

*Deluzio KJ, Lucio JC, Rodgers WB. SAS Journal 4:37-40, 2010.traditional fusions, XLIF has demonstrated reduced blood loss, less O.R. time, and shorter hospital stay

VBT – Vertebral Body Tethering

Vertebral Body Tethering or VBT is a new cutting edge fusionless technique used by only a handful of skilled surgeons to treat scoliosis.

Traditional spinal fusion surgery involves the placement of hardware: hooks / wires / screws on the curved part of the spine. Small pieces of bone are then placed over the spine; the bone pieces eventually grow together with the spinal bone and fuse it into the correct position.

VBT however, is a minimally invasive surgical procedure technique that places a compressive force over the convex side of the spine (slowing down growth) to permit the concave side of the spine to grow more. This in turn will create a straighter spine and correct scoliosis. The actual technique used for VBT varies based on the surgeon, but the premise of the surgery remains the same: titanium bone screws are anchored to the front of each vertebral bone within the curved area, and a flexible cord (the tether) is attached to each screw and tensioned to achieve the desired degree of spine straightening.

The Benefits of Tethering
  • Allows continued growth and mobility
  • Less blood loss
  • Faster recovery time
  • Spinal motion sparing
  • Less hardware placement resulting in decreased complications
  • Very small surgical incision

It is important to note that VBT is mainly used only for children up to the ages of 8-18

NeuroVision Intraoperative Monitoring System – NVM5

During spine surgery, it is important to protect the nerves associated with the spinal column. These nerves carry messages to and from the brain, organs, and limbs, aiding them with proper movement and sensation.

The NeuroVision Intraoperative Monitoring System provides real-time, precise, and reliable feedback to ensure nerve and spinal cord safety. By using this unique and advanced technology, the surgeon is provided with intraoperative information about the location and function of the nerves, assisting with safe implant placement and surgical technique during minimally invasive spine procedures.

Benefits of the NVM5:
  • Uniqueness - The only clinically validated neuromonitoring system for lateral spine approaches
  • Discrete Thresholds – NVM5 delivers discrete thresholds, enabling the surgeon to assess proximity to the nerve in the lumbar plexus
  • Directionality – XLIF Dilators’ directionality provides nuanced information via precise vectoring of the stimulation electrode within the lumbosacral plexus.
  • Relative Proximity – Aids the surgeon in assessing how close the XLIF Dilator is to the nerve tissue
  • Real-Time – 5 stimulations per second deliver a discrete, directional and relative proximity data to the surgeon in real-time!
  • Surgeon-Driven – The surgeon controls stimulation from the sterile field – without delay, aiding in efficiency in the O.R.

Our Location

A 5 Star Surgical Holiday Experience

At AIMIS Spine, we strive for medical excellence and life-changing experiences. Apart from the world class medical care though, the vast surgeon knowledge and the VIP services you will be receiving, another reason to consider surgery with us is due to our location, the beautiful island of Cyprus.

Minimally Invasive Surgery


Want to find out more about Minimally Invasive Surgery?

Spinal surgery can change the lives of patients by fixing a deformity, reducing pain, and improving overall quality of life.

No commitment! No cost! Just upload your MRI and let our world class surgeons give you a second opinion.

We will provide:
1. Full Review
2. Diagnosis
3. Any potential surgical options for your condition
4. Price Quotation


You will be appointed a member of the AIMIS Spine team to be your personal “guardian angel”, to guide you throughout the process. Flights, accommodation, transportation, hospital procedures, paperwork, headaches, headaches, headaches… We are here to take care of it all for you, so you can focus on your health and recovery. Some of our patients enjoyed the process so much that they even asked to stay a little longer!

Receive a Medical Plan and a Price Quotation

The American Institute of Minimally Invasive
Spine Surgery


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ISO 9001


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ISO 45001

& Safety