Endoscopic spine surgery (ESS) is an ultra minimally invasive surgical procedure that effectively relieves chronic low back and leg pain.
This state-of-the-art spine surgery utilizes an HD camera attached to an endoscope inserted through a ¼ inch skin incision to the target pain generator in your spine.
The endoscopic orthopedic procedure allows spine surgeons to operate safely, with greater accuracy, and offer patients better outcomes.
The surgeon can observe the spine on an HD monitor and operate through the endoscope using highly specialized micro-instruments like a laser, radiofrequency probe, or graspers.
An HD endoscope with an attached HD camera is inserted into the cannula or often called a tubular retractor. The surgeon can now visualize on an HD monitor the spinal canal, vertebral disc and exiting nerves. Endoscopic spine surgery can treat effectively herniated disc, bulging disc and foraminal stenosis.
This ultra minimally invasive spine surgery is the most effective surgical technique that relieves a herniated disc, low back pain, and sciatica. Because it utilizes a 1/4 inch incision, patients recover faster than minimally invasive spine surgery.
This endoscopic spine surgery effectively treats painful conditions caused by a herniated disc, spinal stenosis, sciatica, and facet joint syndrome. This procedure is an excellent solution for patients suffering from pain seeking a faster return to an active lifestyle.
Minimally invasive spine surgery (MIS), the standard of care in spine surgery, represents a broad spectrum of techniques, with endoscopic being the least invasive. Endoscopic spine surgery is as effective as the MIS microdiscectomy procedure at relieving painful spine conditions.
However, unlike MIS, endoscopic spine surgery significantly reduces trauma to the patient’s muscles and soft tissue leading to faster recovery. The endoscopic procedure utilizes a surgical approach that avoids the major stabilizing muscles of the lower back.
Unlike the MIS incision of one inch or more, ESS uses a ¼ inch incision. Smaller surgical incisions and avoiding major back muscles can significantly improve patient outcomes.
Sometimes called ultra-minimally invasive, the endoscopic technique can be performed faster, allowing the surgeon better access to the spinal nerves and disc, and superior visualization. Also, ESS requires no general anesthesia, which affords patients less risk and faster discharge from the hospital within 2-3 hours of surgery.
Image for illustrative purposes only. Your physician will determine the actual incision placement.
Patients are lightly sedated with IV medication and positioned comfortably on the operating table. The surgeon then locally numbs the skin surgical site to ensure the patient is comfortable throughout the surgery.
Under fluoroscopic X-ray guidance, the physician guides a spinal needle and guidewire to the painful spinal disc. A micro-incision of ¼ inch is made. A metal dilator (the size of a pencil) and cannula are gently placed over the guidewire down to the spinal disc to establish the surgical portal. The guidewire and dilator are removed.
Specialized micro-instruments are placed through the endoscope to assist the surgeon in ablating and decompressing the affected spinal nerves. The surgeon often targets and resects herniated disc and bone spurs that may be impinging the spinal nerves.
Laser spine surgery is a marketing gimmick for many. Still, at DISC, our surgeons utilize a side-firing laser and radiofrequency energy often during ESS as one of many surgical instruments at their disposal.
After surgery, the spinal nerves are decompressed and free from impingement. A steroid injection is often administered thru the scope at the spinal level to enhance patient comfort and minimize post-operative inflammatory pain. The scope and cannula are removed, and one small stitch is used, applying a small bandage on the skin.
Patients are moved to recovery and monitored for an hour or two before being released to go home.
This is the most common least invasive procedure used to relieve the pressure of a herniated disc on a spinal nerve causing pain. It is also called Selective Endoscopic Discectomy, utilizing the world’s first working channel endoscope to perform direct visualized endoscopic spine surgery.
Endoscopic Facet Rhizotomy is an ultra minimally invasive endoscopic procedure treating chronic low back pain caused by facet joints in your back. This procedure has been shown to provide up to five years of long-term relief. If you had short-term relief from a pain management radiofrequency ablation procedure, you might be a candidate.
This is an ultra minimally invasive endoscopic laser spine surgery that targets foraminal stenosis, also called lateral recess stenosis. Lateral recess stenosis can be the cause of failed back surgery in up to thirty percent of patients. The endoscopic technique utilizes motorized burrs and a side-firing laser to enlarge the narrow boney foramen, thus relieving the exiting spinal nerve’s pressure. Endoscopic Foraminoplasty may help select patients avoid a minimally invasive spinal fusion.
Traditional or minimally invasive spine surgery aims to improve pain by decompressing or relieving pressure and irritation on the spinal cord and exiting nerve roots. During spine surgery, a surgeon is cautious to preserve spinal anatomy and the functionality of the spinal muscles in the patient’s back.
Sometimes, a surgeon’s outcomes do not align with patient expectations. Although the surgery has been successful, patients often experience residual pain or pain from surgical disruption of the spinal anatomy and back muscles.
Endoscopic spine surgery is the least invasive surgical option for patients suffering from back and leg pain. Endoscopic spine surgery treats multiple painful spinal conditions such as:
The ideal candidate for endoscopic spine surgery can vary depending on the specific condition being treated and the surgeon’s assessment. However, in general, the following characteristics may make a patient a good candidate for endoscopic spine surgery:
Our candidate selection process begins with our proprietary Personalized Pain Mapping. Personalized pain mapping of the spine, also known as diagnostic spinal mapping, is a procedure performed to identify and locate the source of a patient’s chronic or persistent spinal pain. It is a diagnostic tool used by spine specialists to gain a better understanding of the specific areas causing pain in an individual patient.
We listen carefully to your pain journey and your desired outcomes. Then we use diagnostic and therapeutic injections to pinpoint the pain generator. We personalize a treatment plan that will effectively address your pain and desired outcomes. Many of our patients get better without any surgical intervention. However, those patients we select for endoscopic spine surgery have great results and a high level of satisfaction.
Personalize pain mapping of the spine allows for a more accurate diagnosis and helps our expert spine specialist tailor the least invasive and most effective treatment options for patients.
You may be a candidate for endoscopic spine surgery if you:
Due to evolving physicians’ treatment methodology, certain degenerative conditions, if not too severe, can be helped, but only after individual evaluation of each patient and their response to evocative discography and other diagnostic injections can our surgeons tell if the endoscopic procedure is recommended for you.Make an Appointment
If you are seeking a second opinion or looking to travel for a less invasive surgery, our orthopedic spine specialists in Phoenix are available to help you get an accurate spine diagnosis and customize an innovative treatment plan to get back to enjoying life. Schedule an appointment with one of our compassionate expert spine surgeons today.
Our spine health blog features up-to-date spine education and expert spine tips from our spine specialists here at DISC.
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Congratulations to DISC’s surgeons, Christopher Yeung, Justin Field, and Nima Salari, for being chosen as Phoenix Magazine’s TOP DOCTOR in 2023.
Register today for Amplify Surgical’s 2nd Annual Endoscopic Spine Symposium, featuring dualPortal™ and dualX® System on March 4, 2023.
Congratulations to Dr. Yeung for being featured on the front cover of Maricopa County Medical Society’s “Arizona Physician” Winter 2022 magazine!
Dr. Chris Yeung was interviewed by Arizona Physician Magazine – a publication that provides information for physicians across Arizona.
Dr. Salari received the most votes in the Orthopedic Surgery of the Spine category. Dr. Yeung received the award for the 10th consecutive year.
DISC surgeon Dr. Chris Yeung participates as a panelist in UCI Health Comprehensive Spine Center Webinar Series on January 14th, 2022.
DISC surgeons Dr. Salari and Dr. Wang participated as instructors in a recent M.O.R.E. Education Spine Program in Phoenix, Arizona on November 19-20, 2021. The M.O.R.E. Spine Learning Center offers surgeons the opportunity to attend cadaver labs, meet experienced surgeons and discuss the clinical, technical and economic aspects of new spine treatment technologies.
Begin or advance your Endoscopic skills at NASS on September 29th, 2021. Elliquence is dedicated to ensuring the best education for doctors and physicians on the Endoscopic Spine and MIS procedures using didactic and cadaveric hands-on instruction.
We are proud to announce that Dr. Nima Salari has been named to Becker’s Spine Review “50 Spine Surgeons To Know.” Written by Carly Behm | August 26th, 2021 Nima Salari, MD. Desert Institute for Spine Care (Phoenix). Dr. Salari was reportedly the first spine surgeon to implant Amplify Surgical’s 12-degree hyperlordotic DualX interbody cage. His specialties include pathologic conditions of the spine and minimally invasive surgery.
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