The Endoscopic Technique

WHAT IS FULL ENDOSCOPIC SPINE SURGERY?

Full endoscopic spine surgery is an ultra-minimally invasive surgical technique that is used to treat compression of the neural elements from pathologies of the spine such as disc herniations, synovial cyst and stenosis. These surgeries are typically performed under general anesthetic so that you are asleep throughout the procedure.

 

In general, the surgeon makes a small incision at the area of the pathology. Small tubes (dilators) the size of a pen, are used to create a tunnel to the vertebra. An endoscope is then advanced to the site of the pathology which allows for superior visualization of the neural elements and surrounding anatomy. Due to the small size of the endoscope, the surgery can be performed with only minimal amount of bone being removed to gain access to the pathology. In some cases there is no need to remove bone at all. Specialized tools are used through the endoscope to complete the goals of the surgery. Once the surgery is complete, the anesthetic is reversed. The skin around the incision is injected with long-acting numbing medication and you are taken to the recovery room.

WHY IS FULL ENDOSCOPIC SPINE SURGERY NOT STANDARD OF CARE IN THE UNITED STATES? 

In contrast to the rest of the world, very few institutions offer full-endoscopic spine surgery. Learning full-endoscopic surgical technique requires years of training. Moreover, specialized equipment requires additional capital compared to traditional surgery. Lastly, there is currently no incentive by hospitals or payers to encourage surgeons to perform this type of surgery. Members of our group are developing, teaching and validating full-endoscopic spine surgery on a national and worldwide level.