Minimally Invasive Spinal Surgery

Dr. Nourian uses innovative minimally invasive surgical techniques whenever possible for his spinal surgery patients. People from throughout the Greater Los Angeles area come to his practice in Marina del Rey, California for state of the art minimally invasive spinal surgeries.

What is Minimally Invasive Spinal Surgery?

The incision used during most open surgeries, while usually effective, can have some drawbacks, such as the damaging of the affected soft tissue, which can be a particularly troublesome concern when it comes to the human spine. Minimally invasive spinal surgery was therefore introduced to solve this problem. By focusing on many small incisions to treat specific areas, many common and minor spinal ailments can be treated this way.

What are Common Procedures?
During a minimally invasive spinal surgery, a small incision is first made and a device known as a tubular retractor is inserted through the skin and soft tissue to the spinal column. A qualified surgeon will then use the tubular retractor to remove and add organic or surgical material as needed. When the spinal issue has been attended, the tubular retractor is removed and the muscle and soft tissue return to their starting position. Real-time x-ray imaging is used throughout the procedure.

Common minimally invasive spinal surgeries include lumbar discectomy and lumbar fusion.

What is the Recovery Time?
A minimally invasive surgery will require less recovery time and shorten hospital stays. While this has a lot to do with your specific procedure, most patients will go home in about two to three days following this kind of surgery. Your doctor will evaluate you during this time to make sure you are healthy enough to resume normal activity and may recommend physical therapy or other specific exercises to improve your condition.
What are the Potential Complications?
As with all surgical operations, there are some potential complications with even minimally invasive surgery. These include infection, bleeding, pain at the graft site, recurring symptoms, blood clots, nerve damage and inadequate bone formation resulting in pseudarthrosis. You should discuss these possible risks with your surgeon before any procedure.

Have Any Questions?

Neck & Spine Specialities

Dr. Nourian has an enviable record of successfully treating the full spectrum of neck and spine problems.


Bulging/Herniated Discs

Disease & Disorders







Spinal Stenosis

Stiff Neck


General Orthopedics

Specialist in treating a wide variety of injuries and conditions that impact bones, joints, ligaments, tendons, muscles and nerves.



Chronic Pain









What Patients Think About Dr. Nourian

Awesome awesome doctor!!!very nice to all his patient! Dr. Nourian is very kind and caring. A very pleasant man and easy to communicate with. He saw my son when he injured his hip and He took extra good care of him. After 2 wks he was able to resume sports. He’s not only a very good orthopedic surgeon but also an amazing Spine doctor. He always make sure he always gets the job done. 2 Thumbs up to this Doctor!!!??

Regz Ramos


Dr. Nourian was fantastic! He was able to alleviate my back pain. I would recommend him to anyone

Nikesh Patel


Dr. Nourian is the best. His bedside manner is friendly and professional and his staff is excellent. I went to see him after a terrible whiplash injury when I rear-ended while driving. After receiving my MRI results, the doctor was quick to reach out and went over my options with me. He really cares about his patients.

Michelle Sadighpour Shophet


Dr. Nourian is an outstanding physician. I injured my back while exercising recently. I went to see him, and he explained my injury to me in detail. He told me that my injury would most likely heal without surgery, but if I needed surgery in the future he would get me through it. He is honest, intelligent, and forthcoming. I am thankful for him as my spine physician.

Michael Broukhim


Dr. Nourian was absolutely fantastic. I was struggling with intense lower back pain. He took his time 40 minutes to be exact to see me and review everything with me after another follow up we decided to do surgery. Thank god!!! I’m back to working out, picking up my child, and living my best life. I was so hesitant to do surgery but he was a true god send. He would call me weekly to see how I’m doing.

Sara Sadig


Dr. Nourian is smart, caring, attentive and super knowledgeable. I highly recommend him as an orthopedic surgeon!

Sharon Darouvar Greiner


Great with patients and consciences of patient’s time as well as needs. He will spend time to assure the patients with respect to treatment plan and follow-up was amazing with my auntie’s back issues.

Connie Esparza


An extremely knowledgeable doctor with wonderful bedside manner. He clearly explained every step of the procedure and eased all my worries. My back is feeling great thanks to Doctor Nourian

Ashley Sadig


After seeing three doctors and all of them saying I should operate Dr Nourian was able to address and issue without and surgery. I got an epidural and did physical therapy and I’m able to run around with my grand child. He’s truly a gem. Everyone at the office was friendly and supportive.

Katrin Sadighpour


Dr. Nurian explained everything very well and preformed the surgery exactly as planned. I woke up pain free and the surgery pain was gone in five days. Could not give him enough praise.

Wade Savage