Endoscopic Spine Surgery Techniques| Dr. Ajay Kothari
Dr. Ajay Kothari
Endoscopic spine surgery includes a range of minimally invasive techniques that allow surgeons to treat spinal conditions through small incisions using an endoscope. These approaches provide greater precision, quicker recovery, and reduced tissue trauma compared to traditional open surgeries.
Core Techniques
1. Endoscopic Discectomy
- Focuses on removing herniated disc material to relieve nerve compression
- Performed through a small posterior or lateral incision with HD camera guidance
- Most common endoscopic spinal procedure
- Benefits: minimal blood loss, rapid recovery, and reduced complications
2. Endoscopic Foraminotomy
- Enlarges the spinal canal opening (foramen) to relieve nerve root compression caused by stenosis or bone spurs
- Uses specialized endoscopic drills or lasers for precise tissue and bone removal
3. Endoscopic Laminectomy
- Removes portions of vertebral bone to decompress the spinal cord and nerves
- Effective for conditions like lumbar stenosis and herniated discs
4. Endoscopic Spinal Fusion
- Stabilizes the spine by fusing vertebrae through a minimally invasive approach
- Generally used for advanced degenerative disease or spinal deformities
Approaches
Interlaminar Approach
- Accesses the central canal and lateral recesses through a paramedian incision
- Mirrors traditional decompression techniques
- Suitable for a wide range of spinal disorders
- Enters the disc or epidural space via a far-lateral incision
- Ideal for foraminal or extraforaminal conditions and ventral disc pathology
- Preserves musculoskeletal structures
Biportal Endoscopy
- Utilizes two working channels: one for the endoscope and one for surgical instruments
- Allows greater instrument control and maneuverability
- Requires multiple access points
Innovations in Endoscopic Spine Surgery
- High-definition (HD) cameras for improved visualization
- Articulating burrs and surgical lasers for precise tissue removal
- Fluid pump irrigation systems to maintain a clear surgical field
Endoscopic spine surgery represents a breakthrough in spinal care, offering reduced pain, shorter recovery times, and excellent long-term outcomes for patients with a variety of spinal conditions.
Read More:
Surgeon’s Perspective and Advances in Endoscopic Spine Surgery| Dr. Ajay Kothari
Endoscopic Spine Surgery| Dr. Ajay Kothari
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Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.