Endoscopic Lumbar Discectomy

Endoscopic Lumbar Discectomy is a minimally invasive surgical technique used to treat herniated or degenerated intervertebral discs in the lumbar spine. The procedure is designed to relieve nerve compression caused by disc material pressing on spinal nerve roots, alleviating symptoms such as lower back pain, sciatica, or leg pain.

 

Procedure Overview:

  1. Incision and Access:
    A small incision (typically less than 1 cm) is made on the patient’s back to access the affected disc level. Using fluoroscopic guidance, a series of dilators are inserted to create a minimally invasive pathway to the spine, avoiding excessive muscle disruption.
  2. Endoscopic Visualization:
    A high-definition endoscope is introduced through a working channel, providing clear and magnified visualization of the herniated disc material, nerve roots, and surrounding structures.
  3. Discectomy and Decompression:
    Specialized instruments, such as forceps, reamers, and graspers, are used to carefully remove herniated or degenerated disc fragments that are compressing the nerve root. Adequate decompression is confirmed by visualizing the nerve root free of any impingement.
  4. Foraminotomy (if necessary):
    If the neural foramen is narrowed, a foraminotomy may be performed using small bone drills to enlarge the nerve passageway and further relieve nerve compression.
  5. Closure:
    After completing the decompression, the instruments are removed, and the incision is closed with absorbable sutures or adhesive strips. The procedure is typically performed on an outpatient basis.


Benefits
:

  • Minimally Invasive: Involves a small incision and minimal disruption of surrounding tissues.
  • Enhanced Precision: Direct visualization of the affected area minimizes collateral damage.
  • Faster Recovery: Patients generally experience reduced postoperative pain and a quicker return to normal activities compared to traditional open surgery.
  • Outpatient Procedure: Most patients can return home the same day.


Indications
:

This procedure is suitable for patients experiencing:

  • Herniated or bulging discs causing nerve compression.
  • Sciatica or radicular leg pain.
  • Persistent symptoms unresponsive to conservative treatments such as medications, physical therapy, or injections.


Expected Outcomes
:

Endoscopic lumbar discectomy effectively relieves nerve compression, alleviates pain, and improves mobility, allowing patients to return to their daily lives with minimal recovery time. This approach combines precision with patient comfort, offering an advanced solution for lumbar spine conditions.