Meet Our Doctor
Dr. Paresh Bang
Endoscopic Spine Surgeon In Nagpur
Endoscopic Spine Surgeon
Endoscopic Discectomy: Lumbar disc herniation is the most common indication of endoscopic spine surgery. Endoscopic discectomy involves removing only the herniated part of the disc. It can be done as
1) Trans-foraminal endoscopic discectomy or
2) Interlaminar endoscopic discectomy, depending upon the location of a herniated disc and the surgeon’s preference.
Endoscopic Spine Decompression: Lumbar spinal stenosis can be decompressed using a wider endoscope and removing tissue causing pressure on the spinal cord (ligamentum flavum, overgrown fact joints, herniated disc).
Endoscopic Lumbar Fusion: A complete endoscopic discectomy is performed. Bone graft and cage are inserted in intervertebral space using a small tube under fluoroscopy guidance. Percutaneous pedicle screws are then inserted using small holes in skin.
Endoscopic Disc Debridement: Infective discitis caused by bacteria or tuberculosis can be debrided with the help of spine endoscope. This reduces pain and also provide tissue for further testing.
- These are most minimally invasive spine surgeries with all the advantages of an MIS spine surgery.
- Many procedures can be done under local anesthesia hence suitable for older patients with medical problems.
- These are very safe procedures due to magnification and illumination provided by endoscope.
- Specialized training is required.
- Specialized OT setup and equipment are required.
- Surgeries are slightly costlier due to use of specialized instruments.
- Sometimes, an adequate decompression is not achieved by endoscopic procedure.
- Not all pathologies are treatable by endoscopic techniques.