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Endoscopic Lumbar Fusion

Endoscopic Lumbar Fusion

This revolutionary micro invasive endoscopic assisted fusion has proven to be an alternative and reliable method that can be achieved utilizing small access channels to the affected spine in selected group of patients. It is even less invasive than all the “minimally invasive” fusion techniques.

The surgeon will use real time EMG, endoscope, real time radiographic images, and sometimes “GPS” navigation device so it is gentle to your body. The surgery is performed under general anesthesia. The “working” tube about one inch diameter is gently placed through natural muscle plane utilizing advanced tools as mentioned above to ensure safety placement. The endoscopic will identify and confirm that there are no vital structures nearby so it is very safe technique. The surgeon will then perform thorough decompression and discectomy to make adequate room for the nerves/spinal cord. The surgeon then will place the ‘expandable” device to replace the collapsed disc or narrowing disc. Once the device is expanded to your normal anatomy, the device is locked so it maintains the disc height. The bone graft was then packed around the device. The surgeon then make 2-3 small stab incisions to place the small titanium screws and rods for an additional stability so your spine is healed properly. This is sometimes called “MIS-Percutaneous posterior fixation”. The surgery usually takes 2-4 hours depending on the severity of the problems, co-morbidities of the patients, and patient’s body habitus.

Benefits associated with a Micro-invasive endoscopic Lumbar Fusion

  • Least invasive technique comparing to some others “Minimally Invasive Fusion” – less trauma to muscles and soft tissue than with traditional open surgery
  • Can be done outpatient (some patients will be 23-hours observation)
  • Fast recovery time
  • Minimal pain or discomfort following the surgery
  • Immediate leg pain relief in most cases
  • Fewer complications than open spine surgery
  • Small incisions and minimal scar tissue
  • Minimal blood loss