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Minimally Invasive Endoscopic Spine Surgery: Small Incisions, Less Pain, Faster Recovery

The spine is one of the most vital structures in the human body. It spans from the base of the skull, through the thoracic region, lower back, and down to the pelvis, providing a central support structure for the body. It also houses the spinal cord, which transmits nerve signals throughout the body. As people age and lifestyle factors, such as prolonged sitting or increased physical activity, come into play—especially for working adults—there can be a higher risk of spine-related issues, such as joint degeneration and intervertebral disc problems, leading to chronic pain and reduced quality of life.

For many individuals, conservative treatments like medication may not provide significant relief, or their condition may worsen. In such cases, surgery may be considered. One of the innovative solutions in spinal surgery today is Endoscopic Spine Surgery, which offers a less invasive approach to treatment, leading to better outcomes. Let’s explore this breakthrough in spine care.

Endoscopic spine surgery is a modern technique used to treat spinal conditions using a small, specialized camera called an Endoscope. This minimally invasive method enhances precision and effectiveness while reducing damage to surrounding tissues. The endoscope is inserted through a small incision—typically 8-12 mm. for single-port or 4 mm. camera for dual-port procedures—allowing surgeons to operate with greater visibility and control.

By inserting the endoscope into the affected area, the surgeon can clearly visualize the problem and perform the procedure without making large incisions. This approach improves surgical outcomes by minimizing the risks of complications and reducing the chance of errors. However, the decision to use endoscopic surgery is made on a case-by-case basis, depending on the patient’s condition and the surgeon’s assessment.

Current Technologies in Spinal Surgery

In the past, spinal surgeries often required large incisions to access the affected area. This resulted in longer recovery times and greater risk of complications. Fortunately, technology has significantly advanced, providing new options for spine surgery that enhance surgical precision and reduce unwanted side effects. Here are some of the current technologies used in spinal surgery:

  • Microscopic Surgery: This technique involves using an external microscope to zoom in on the surgical site, providing clearer visibility. However, it still requires a relatively larger incision (2-3 cm. or more) for procedures such as spinal fusion or tumor removal.
  • Endoscopic Surgery: This technique uses small instruments and a camera to perform surgery through tiny incisions. It’s especially effective for conditions like nerve root compression or spinal disc herniation, and offers reduced recovery time and fewer complications.
  • Robot-Assisted Surgery: This technology enhances surgical precision by using robotic systems that guide the surgeon during spinal procedures. While it shares some similarities with joint replacement surgery, it has been adapted to meet the unique needs of spinal surgery.
  • 3D X-ray or Computer-Assisted Navigation Systems: These systems help surgeons plan and navigate spinal surgeries more accurately by creating a 3D image of the patient’s spine, improving targeting and reducing errors during the procedure.

In spinal surgery, the doctor will diagnose the condition and work together with the patient to determine the most appropriate treatment plan. The goal is to ensure that the patient receives the most suitable care, tailored to their specific condition and needs.

Conditions Treated with Endoscopic Spine Surgery Endoscopic spine surgery is effective for a variety of spinal conditions, including:

  • Herniated Disc (Disc Herniation): Endoscopic surgery can treat herniated discs in the lumbar and cervical spine by removing the damaged disc material pressing on the nerve roots.
  • Spinal Stenosis: This condition occurs when the spinal canal narrows, putting pressure on the spinal cord or nerves. Endoscopic surgery can alleviate this pressure, particularly in the lumbar and cervical spine.
  • Spondylolisthesis (Spinal Slippage): When one vertebra slips forward over another, endoscopic surgery can be used to assist the surgery for spinal fusion and instrumentation.
  • Infections, Abscesses, or Tumors: Endoscopic surgery can also be used to address spinal infections, abscesses, or tumors that are pressing on the spinal cord or nerves.

Is Endoscopic Spine Surgery Dangerous? What are the Risks?

One of the primary benefits of Endoscopic Spine Surgery is its ability to magnify the surgical site and provide high-intensity illumination, allowing for greater accuracy and minimizing the need for larger incisions. This helps reduce the risks associated with open surgery

However, like all surgeries, endoscopic spine surgery does come with some risks.xxตัด Risk ออกThe likelihood and severity of complications depend on the patient’s health, the specific condition being treated, and the surgeon’s experience.

When Should Endoscopic Spine Surgery Be Considered?

In general, spinal conditions are first managed with conservative treatments such as medications, lifestyle changes, or physical therapy. However, if symptoms worsen—such as the development of muscle weakness, numbness, or severe pain—or if conservative treatments fail to provide relief, surgery may be necessary. In these cases, the choice of surgery will depend on the patient’s condition and the location and severity of the problem. Endoscopic surgery is often preferred for less complex cases, where a minimally invasive approach can provide the best results.

Cost of Endoscopic Spine Surgery and Why Choose kdms?

Spinal surgery, especially using advanced technologies like Endoscopic Spine Surgery, requires specialized equipment and skilled surgeons. At ‘kdms’ Hospital, we provide top-tier spine care with a focus on patient safety and comfort. Our experienced orthopedic specialists offer expert guidance through each step of the treatment process, ensuring the highest quality care. The cost of endoscopic spine surgery varies depending on the patient’s condition and the specific procedure required.

For those who want to know more information about how much spinal surgery costs, you can see it here: Endoscope surgery package. This depends on the individual’s condition.

How to Prepare for Endoscopic Spine Surgery?

Preparation for endoscopic spine surgery is relatively straightforward but depends on the patient’s overall health. Here’s what to expect:

  1. .Pre-surgical Diagnosis: Your doctor will conduct a thorough evaluation using imaging techniques like X-rays, MRIs, and sometimes CT scans to determine the exact cause of your symptoms. This helps plan the most appropriate surgical approach.

  2. Choosing the Surgical Approach: The surgeon will recommend the best surgical technique based on your condition, whether it’s endoscopic, microscopic, or another approach.

  3. Pre-Surgery Assessment: Your doctor will assess your overall health to ensure you’re fit for surgery. This includes checking your heart, lungs, and other vital systems. If you have pre-existing conditions, such as diabetes or hypertension, the surgical team will work with other specialists to manage these conditions before surgery.

Endoscope Post-Surgery Care and Recovery

Endoscopic spine surgery is minimally invasive, and most patients experience less pain and quicker recovery times compared to traditional open surgery. The procedure typically takes 1-2 hours, and patients are usually able to return home within 1-2 days, depending on their condition.

After surgery, it’s important to follow the recovery plan provided by your doctor. While recovery times can vary, many patients are able to resume light activities within a few weeks. The small incision and reduced tissue disruption lead to faster healing, less pain, and a quicker return to daily life.

Endoscopic Spine Surgery represents a significant advancement in the treatment of spinal conditions. Its minimally invasive nature, faster recovery times, and lower risk of complications make it an ideal option for many patients. If you’re experiencing chronic back pain or other spinal issues, contact us at ‘kdms’ Hospital to learn more about your treatment options and how we can help you return to a life with reduced discomfort.

Article by: Assoc. Prof. Rattalerk Arunakul, M.D., Specialist Spine Surgeon

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Tue, 18 Feb 2025
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ผ่าตัดส่องกล้องกระดูกสันหลัง
ผ่าตัดหมอนรองเคลื่อน
Endoscopic
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Asst. Clinical Prof. Warayos Trathitephun, M.D.
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