Dr Pramod Saini Spine Surgeon Noida

Endoscopic Spine Surgery, also known as Keyhole Spine surgery is a most recent and advanced surgical technique for disc herniation. its done in two ways - Interlaminar approach and Transforaminal approach.Interlaminar approach is done under general anaesthesia. A small half an inch cut is made in the back to remove the disc. this approach can also be used for lumbar canal stenosis but only in selected cases.Transforaminal approach is done under local anaesthesia with slight sedation. Patient is conscious throughout the surgery and can tell about leg pain if the surgeon is working near the nerve therefore increasing the safety of surgery. However, the surgery may last fro 30 minutes to 2 hours and patient has to be cooperative and not move during the surgery without telling surgeon. Beauty of transforaminal approach is that patient is walking 30 mins after surgery. But this approach is indicated for only disc herniations without much migration and is not suitable for stenosis.

Minimally Invasive Spine SurgeryTraditional spinal surgeries usually require large incisions and stripping away the muscles of the spinal column just to get to a herniated disc. Now, new technology allows these complex procedures to be performed with the help of a microscope to magnify and illuminate the damaged area. Instead of stripping away the muscle, your surgeon can use a microscope to view the area through a much smaller incision and create a tunnel to the disc. This is done by splitting the muscle to pass the instrument through.Minimally invasive procedures result in less visible scars and shorter recovery times. A discectomy, or removal of the disc, can often be performed this way.However Not all patients are candidates for MIS. Whether the patient an undergo minimally invasive surgery or not is decided on the basis of clinical examination and MRI findings.

Spinal fusion is a surgical procedure used to link together vertebrae, often because of a severely damaged disc. Discs can be damaged from rupturing, slipping, natural degeneration or injury. The damaged disc can cause severe leg and back pain and may require surgery if the pain is not relieved by conservative treatment. Pt with spondylolisthesis and spinal instability also require fusionDuring spinal fusion surgery, bone growth is stimulated and then used to link the vertebrae together to stop the painful movement in the area. Titanium metal screws or a titanium metal cage can be used to fuse the bone together.