Endoscopic Spine Surgery
Surgery in evolving to be less aggressive on the patient. Classic spine surgery made wide incisions by the need to see the tissues to intervene, to control the bleeding (hemostasis) and to have space for the instruments of the time.
With endoscopic surgery, a patient can be operated through a minimal incision in the skin, visualizing the structures and tissues through fiber optic on a monitor, without bleeding problems and using fine instruments highly evolved.
Spine endoscopy is a procedure in which a small endoscope is passed through the coccyx into the epidural space. This lets you see pictures direct video from inside the spinal canal. Spine endoscopy is also known as epiduroscopy because the endoscope is observed within the epidural space.
During a spine endoscopy, we try to remove part of the scar tissue or adhesions of the trapped nerves. Spine endoscopy may allow the drug to reach affected areas, especially the roots of the spinal nerves.
Spine endoscopy is used more frequently in patients who have had lumbar spinal surgery before. Most of these patients have MRI or other tests as X-ray evidence of healing. In some cases, patients who have not had any back surgery but who have not responded positively to other treatments can also undergo spine endoscopy. Spine endoscopy is usually used when other more conservative treatments have not been effective.
Advanced spinal endoscopy is a very innovative minimally invasive technique, it has not stopped evolving during the last 20 years, creating new methods and surgical accesses to approach the spine.
We can treat pathologies such as herniated disc and canal stenosis, simply with an approach that requires an incision of less than 1 cm in the skin.
It consists of the exploration of the spinal canal through a high definition optic that provides a light source. It is used mainly an endoscopic camera with a channeled optical system connected to a high definition television screen.
Through the optics channel, we use the different clamps and surgical instruments necessary for the treatment of the different pathologies.
Advantages of Endoscopic Surgery
- It is a minimally invasive surgery that only requires a small incision of 2 millimeters without leaving a scar.
- The relief of sciatic and lumbar pain is immediate.
- The risk of injury, bleeding, and aggression to the musculature is lower, which reduces postoperative risks.
- Hospitalization is not required and is performed by local anesthesia.
- The duration is approximately 20 minutes per disc.
- The recovery time is reduced, allowing a faster incorporation to the patient’s normal and work activity. The return to normal life occurs 24 hours after the intervention and it is possible to perform a rehabilitation after only 15 days of the intervention.
- It diminishes, and even disappears in some cases, the ingestion of drugs in the postoperative period.
Spinal Endoscopic Surgery Recovery
With a surgical wound about 0.5 cm in the lateral or posterior area of the lumbar zona, you are usually given a stich or a staple at the end of the endoscopic spine surgery.
Normal activities can typically resume after 5 days. It is necessary to perform wound antiseptic washing. We must maintain the wound clean and dry. The complication of infections and opening are minimal, this is because of its small length and size. Thanks to its small size, there are usually no complications of infection or openings of the wound. After 15 days, physical activities should be able to increase in difficulty.
Endoscopic spinal surgery is typical recommended for Herniated discs & Lumbar canal stenosis.
Call Spine Center Atlanta at 404-351-5812 to see if an endoscopic spinal surgery is right for you.