These are procedures that use minimally invasive and / or percutaneous surgical techniques. They are aimed at preserving the function of the spine avoiding major surgery. Its application depends on individual factors and is mainly focused on the control of pain resulting from the pathology suffered by the patient.
It is used in people with degenerative or traumatic spine problems and those who due to age or concomitant pathologies have contraindicated major surgery.
Spinal Endoscopy is the least invasive procedure used to treat herniated discs, bulging, annular tears, and extruded disc fragments that compress or irritate spinal nerves that cause back or leg pain. Patients suffering from spinal problems should consider and exhaust all less invasive therapeutic options, such as medical management of pain and percutaneous or endoscopic spinal procedures, before thinking about conventional open surgery or minimally invasive spine fusion surgery. With an accurate and adequate diagnosis of the source of pain, the specialist can address the root problem and with an outpatient procedure can effectively and less aggressively resolve the patient's symptoms.
Endoscopic Discectomy is an outpatient surgical procedure designed to remove the disc fragment. It is performed under local anesthesia and sedation and it is guided by diagnostic images. Once located in the place where the pain is being generated, through a lens with a 4 mm working channel, an endoscopic visualization of the anatomy around the herniated disc is obtained and with small surgical instruments we can selectively remove fragments of the disc that is compressing the spinal nerve and thus eliminate the pain of patients.
The procedure takes about an hour on average. Due to the experience we have, exposure to X-rays is minimal. Conscious sedation makes the procedure tolerated by patients. There are no stitches. It is ambulatory and the return to work is timely.
The amount of tissue removed varies in each case, and it is always taken into account that the support structure of the disc is not affected by surgery. The path to the disc is through natural holes in the spine and at no time it is necessary to remove healthy muscle, bone or ligament tissue, which is the opposite of conventional open surgery.