A national leader in advancing Minimally Invasive Spine Surgery (MISS)

At Legacy, our neurosurgeons are adept at the most advanced and minimally invasive procedures for the care of the brain, spine and peripheral nerves. We lead the nation in the development and advancement of computer and image-guided micro spine surgery. The Legacy Spinous Process MIG-LIF procedure was developed by our neurosurgery team and is one of the most advanced and innovative MIS lumbar fusion procedures in the world.

More than half of the spinal surgeries performed at Legacy are outpatient, ambulatory, minimally invasive microsurgery procedures, including spinal decompressions, anterior cervical discectomies and fusions, lumbar micro-discectomies and lumbar fusions. In some cases, remarkable results can be delivered through surgery using an incision as small as one to two inches.

What is MISS?

Any minimally invasive procedure that targets conditions specifically within the spine through the use of small incisions as opposed to traditional open-spine surgery.


“Our MIG-LIF keyhole surgery delivers the absolute minimal amount of disruption to tissue, muscle, ligaments, joints and tendons. This is why infection rates are significantly lower and there is much less down time, blood loss, and post-op pain. Plus, because many patients are able to have this surgery totally outpatient, the cost of care is also greatly reduced.”

SCOTT SCHLESINGER, Neurosurgeon, Developer of the MIG-LIF procedure

For back surgery, bigger is not better

In a traditional open spine surgery, the surgeon makes an incision 3 to 6 inches long and pulls the muscles to the side to get a clear view of the spine. With MISS, the same operative goals are achieved, but in a less invasive way (one inch or less for most MISS).



  • Faster Healing
  • Less Tissue Damage
  • Reduced Blood Loss
  • Outpatient or Shorter Hospital Stay
  • Reduced Risk of Infections and Pain
  • Lower Costs 


  • Scoliosis
  • Spinal Stenosis
  • Degenerative Disc Disease
  • Compression Fractures
  • Herniated Disc
  • Sciatica
Keyhole surgery

Less is more with our MIG-LIF procedure

Conceived by Dr. Scott Schlesinger, the MIG-LIF procedure — Midline Image Guided Lumbar Interbody Fusion — is one of the most minimally invasive key hole operations available in the world for lumbar laminectomy and fusion surgery.

Learn more about MIG-LIF by downloading our fact sheets.


Update as of 3/23/2020


The physicians of Legacy Spine and Neurological Specialists are fully committed to continuing to offer care to all our patients in the safest possible manner for our staff and all our patients, as well as all the entire population of our state, during this unprecedented healthcare crisis our nation is facing at this time.   Social distancing is the most important method of trying to slow the spread of this pandemic. Therefore starting 3/23/2020 we are closed. You may call 501-661-0077 or continue to our website and use our securing messaging system.


As of 3/30/202 we will offer Telehealth consultations for new and existing patients in accordance with the requests of President Trump and Governor Hutchinson.   We will do the very best we can To arrive at a diagnosis and treatment plan for your issues via Telehealth. Most non urgent in person care will be explained and planned for but delayed until the social distancing is no longer appropriate for your condition. We will be offering in person care for only for limited urgent issues including selected spinal And cranial procedures.


Our MRI will be used with the greatest of preventative caution and in strict adherence of social distancing for our patients and staff.


Please be patient with any inconveniences during this period of time. We hope that all will join us in prayer for a full recovery for all Across the entire world afflicted with the Covid 19 and that we will this invisible war ASAP, and for the souls of those who have lost the battle!   God Bless America and the World!