Endoscopic Discectomy

What is a Discectomy?

A discectomy is a herniated disc treatment surgery in which either all or parts of the discs that lie between the backbones (vertebrae) are removed. The discs are sponge-like material that serves as a cushion between the backbones. Over time, the material that makes up the discs can become damaged. Sometimes portions of the disc material protrude out from the backbone, irritating nerves that lead to the arms or legs.

Symptoms from damaged discs may include back pain and pain in the arms or legs; or other signs of nerve irritation such as numbness, tingling or weakness. Removing all or part of a damaged disc (discectomy) can, in certain cases, improve a patient’s symptoms. Discectomy is a fairly common type of spine surgery, but it is not appropriate for everyone with a disc problem.

What is an Endoscopic Discectomy?

Endoscopic spine sugery or "endoscopic discectomy," is a way to perform discectomy surgery in very select cases. It is a type of "minimally invasive" surgery. Instead of cutting through sensitive body structures to physically access the disc, the surgeon uses a “scope,” a small tube with a light and lens attached, to see and remove the damaged disc material under direct visualization using tiny instruments.

This herniated disc treatment requires a scope can be inserted through a very small incision - less than 1 cm, or the diameter of a dime. If needed, other surgical tools can be used to push a bulging disk back into place or remove disc fragments and small bone spurs.

The camera and X-ray machine allow the surgeon to directly see the disc herniation and remove it. The surgery is done in an operating room, but the patient is lightly sedated during the procedure. The patient goes home the same day.

What are the advantages of endoscopic discectomy?

Patients having endoscopic discectomy require little-to-no recovery time, as there is no standard "surgical" incision. They avoid the risks and discomforts associated with general anesthesia, as only mild sedation is required. The risk of complications from scarring, blood loss, infection and anesthesia that may occur with open disc surgery are reduced or, in some cases, completely eliminated with this herniated disc treatment.

Am I a candidate for endoscopic disectomy?

It depends on the location and nature of their disc problems. The surgeon will determine if you are a candidate for this procedure based on your condition and previous medical history. We will discuss all risks, benefits and complications with you during your office visit