Endoscopic spine surgery is a closed percutaneous method which has started a new age of slipped disc treatment. This gentle, comfortable and revolutionary treatment is used to cure many kinds of herniated discs and chronic back pain. It can even be increasingly employed to remove a stenosis of the nerve root canal (so-called foraminal stenosis). Important prior to endoscopic disc surgery is a reliable diagnosis poving which disc causes the complaints.
We use the safely lateral access that is easy on tissue. Additionally, we use a very gentle anesthesia that is well-tolerated.
The removal of the herniated material is performed via the safe and gentle lateral access – passing nerves and the posterior ligament (ligamentum flavum) and navigating through the nerve root canal.
Most surgeons practicing endoscopic surgery use the endoscopically more difficult and risky posterior access and destroy the protecting ligament (ligamentum flavum). Nerve roots have to be moved to navigate to the slipped disc, but that increases the risk of damage. This kind of surgery necessitates the use of general anaesthesia because pain would be unbearable. In contrast, endoscopic surgery can be done in local anaesthesia and analgosedation.
Often Patients are free of pain directly and able to walk 2 hours after endoscopic spine surgery. They can go home the same day or one day after the operation. A quick return to occupational and sports activities after endoscopic spine surgery is possible. Because of the lateral endoscopic approach, it is easy on tissue and muscles and, thus, also usable in case of recurrent disc herniations since scar tissue is not irritated. Endoscopic spine surgery is even usable to cure nerve root stenosis (foraminal stenosis) and disc wear and tear accompanied by chronic back pain. Here are the advantages of endoscopic spine surgery in short:
Only one week after endoscopic surgery – in single cases only a few days after surgery – office work can be resumed. Heavy manual work should be shortened within first 4-6 weeks and can slowly be raised afterwards.
All sports activities can be performed a certain period after endoscopic disc surgery. Whereas swimming and biking are permitted only after 2-3 weeks, other sports activities can be started slowly raising after 4-6 weeks.
In the last few years, the success rate of endoscopic spine surgery has been increased above 95%. The same result holds for microscopic surgery. The high degree of safety and the high success rates result from technical optimization, improvement of instruments and the long-term experience of surgeons.