Minimally invasive spine surgery (MIS) is no longer an emerging segment of the Fusion Market, as it has become a core part of it. SmartTRAK estimates that MIS accounted for 40% of all spine fusion procedures in 2025 and expects it to increase to 45% by 2030E. That shift was evident at the Society of Minimally Invasive Spine Surgery (SMISS) Annual Forum, held Sept 10–12, 2026, in Las Vegas, Nevada, where clinical data, implant innovation and enabling technologies pointed to an expanding role for MIS across procedures and sites of care.
This SmartTRAK perspective article explores several trends shaping the continued evolution of MIS, including:
Spine MIS Hardware Moves From Adaptation to Optimization
Spine MIS hardware has evolved from adapting “open” implants and instruments for smaller exposures to designing implants and procedural systems specifically for minimally invasive workflows. Expandable interbody cages are a clear example, combining ... (read more)
Enabling Technologies - Expanding Beyond Screw Trajectory into Workflow
Enabling technology has been part of MIS surgeries from the beginning, with a focus on ensuring optimal pedicle screw placement. At this year’s SMISS meeting, a few clinical posters demonstrated how this is evolving and which new enabling technologies can... (read more)
The Next Frontier for MIS Is Complexity
With MIS already accounting for a substantial share of spine fusion procedures, the next growth opportunity is... (read more)
Want to learn more about the expanding role of MIS? Click the button below to read the complete "Clinical Data Strengthens MIS Role in the Spine Market" perspective article by Erin Dorgan, SmartTRAK Sr. Analyst, Spine & Bone Replacement.