Endoscopic surgery

Endoscopic Microdiscectomy

Endoscopic Microdiscectomy is an advanced minimally invasive surgical technique intended for the treatment of herniated discs and nerve compressions of the spine, allowing relief of radicular pain and preserving as much of the normal anatomical structures as possible.

This procedure combines the principles of spinal microsurgery and high-definition endoscopic surgery, offering precise neural decompression through minimal tissue trauma approaches.
The technique is especially indicated in patients with lumbar or cervical disc herniations that produce sciatica, cervicobrachialgia, persistent radicular pain, sensory disturbances or neurological deficits refractory to conservative treatment.

Endoscopic microdiscectomy is performed through a small millimeter incision through which an endoscopic system equipped with a high-definition microcamera and specialized lighting and microinstrumentation systems is introduced.

The images are displayed in real time on a high-resolution monitor, allowing for highly precise work on the affected nerve and disc structures.

Microsurgical instruments specifically designed to access the intervertebral disc and remove the herniated disc fragment responsible for nerve compression are introduced through the endoscope, preserving the muscles, ligaments, and vertebral stability.

The goal is to release the compressed nerve root while minimizing surgical trauma and promoting a faster functional recovery.

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endoscopic transforaminotomy
cervical disc herniation pathology

Endoscopic microdiscectomy may be indicated in patients with:

  • Lumbar disc herniation
  • Cervical disc herniation
  • Persistent sciatica or radiculopathy
  • Cervicobrachialgia
  • Selected foraminal compression
  • Radicular pain refractory to conservative treatment
  • Neurological deficit secondary to disc compression

The surgical indication should be individualized through specialized clinical assessment and advanced imaging studies.

The procedure is performed in an operating room under high-precision radiological control and strict sterility measures.

Depending on the clinical case and the selected approach, the technique can be performed under local anesthesia with sedation or general anesthesia.

Through a small incision, the affected vertebral level is accessed using transforaminal or interlaminar endoscopic approaches, performing selective extraction of disc material and neural decompression.

The procedure usually requires a short hospital stay and, in many cases, can be performed on an outpatient basis or with early discharge.

Recovery and benefits

Thanks to its minimally invasive nature, functional recovery is usually faster compared to conventional open surgery.

quirófano clínica

The main advantages of endoscopic microdiscectomy include:

  • minimally invasive technique
  • Millimeter incisions
  • Less muscle and tissue damage
  • Less postoperative pain
  • Faster functional recovery
  • Less bleeding and smaller surgical scar
  • Preservation of vertebral anatomy and stability

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS we perform advanced image-guided endoscopic spinal surgery and microsurgery techniques, offering highly specialized and personalized treatments for degenerative and compressive spinal pathologies.