Meet Our Doctor
Dr. Paresh Bang
M.B.B.S, D.orth, DNB, Fellow in Spine Surgery
Consultant Spine Surgeon
Consultant Spine Surgeon
Dr. Paresh Bang is a young and dynamic Spine surgeon who is rendering his services in Nagpur. He has an experience of more than 12 years in the treatment of Spine problems.
Endoscopic Spine Surgeon In Amravati
Endoscopic Spine Surgeon
Endoscopic spine surgery involves use of an endoscope to visualize the disc and inside of the spinal canal. Endoscope provides a magnified and well illuminated view on a big TV screen. Long, narrow instruments are passed through the endoscope to perform required surgery inside.
Endoscopic discectomy is most commonly done procedure; however, endoscopic spinal stenosis decompression and endoscopic spine fusion surgeries are also done. Many of these surgeries can be done under local anesthesia and as day care procedure. Endoscopic spine surgeries provide all benefits of minimally invasive spine surgery.
Types of Endoscopic Spine Surgeries:
Endoscopic Discectomy: Lumbar disc herniation is the most common indication of endoscopic spine surgery. Endoscopic discectomy involves removing only the herniated part of the disc. It can be done as
1) Trans-foraminal endoscopic discectomy or
2) Interlaminar endoscopic discectomy, depending upon the location of a herniated disc and the surgeon’s preference.
Endoscopic Spine Decompression: Lumbar spinal stenosis can be decompressed using a wider endoscope and removing tissue causing pressure on the spinal cord (ligamentum flavum, overgrown fact joints, herniated disc).
Endoscopic Lumbar Fusion: A complete endoscopic discectomy is performed. Bone graft and cage are inserted in intervertebral space using a small tube under fluoroscopy guidance. Percutaneous pedicle screws are then inserted using small holes in skin.
Endoscopic Disc Debridement: Infective discitis caused by bacteria or tuberculosis can be debrided with the help of spine endoscope. This reduces pain and also provide tissue for further testing.
Advantages of Endoscopic Spine Surgery:
- These are most minimally invasive spine surgeries with all the advantages of an MIS spine surgery.
- Many procedures can be done under local anesthesia hence suitable for older patients with medical problems.
- These are very safe procedures due to magnification and illumination provided by endoscope.
Disadvantages/ Limitations of Endoscopic spine Surgery:
- Specialized training is required.
- Specialized OT setup and equipment are required.
- Surgeries are slightly costlier due to use of specialized instruments.
- Sometimes, an adequate decompression is not achieved by endoscopic procedure.
- Not all pathologies are treatable by endoscopic techniques.
What Does an Endoscopic Spine Surgeon Do?
- Endoscopic Spine Surgery is used to treat spinal conditions such as herniated discs, spinal stenosis, degenerative disc disease, and sciatica. Instead of making large incisions, the surgeon makes tiny incisions through which an endoscope and surgical instruments are inserted.
- The surgeon views the procedure on a video monitor, allowing precise removal or repair of damaged tissue while minimizing harm to surrounding muscles and tissues.
Conditions Treated by Endoscopic Spine Surgery
- Herniated Disc: Removal of herniated disc material that presses on spinal nerves, causing pain and discomfort.
- Spinal Stenosis: Decompression of the spine to relieve pressure on nerves caused by narrowing of the spinal canal.
- Sciatica: Treatment of nerve compression caused by a herniated disc or bone spur affecting the sciatic nerve.
- Degenerative Disc Disease: Removal or repair of damaged discs to alleviate chronic back pain.
- Spondylolisthesis: A condition where one vertebra slips over another, which can also be treated endoscopically.
Benefits of Endoscopic Spine Surgery
- Minimally Invasive: Smaller incisions (usually less than 1 cm) lead to reduced blood loss and quicker recovery times.
- Less Postoperative Pain: Since less muscle is cut or damaged, patients experience less pain after surgery.
- Faster Recovery: Patients often return to normal activities sooner compared to traditional open surgery.
- Outpatient Procedure: Many endoscopic spine surgeries can be performed as outpatient procedures, meaning patients can go home the same day.
- Lower Risk of Complications: Fewer risks of infection, scarring, and muscle damage due to the minimally invasive nature of the procedure.
Common Endoscopic Spine Procedures
- Endoscopic Discectomy: A procedure to remove part of a herniated disc to relieve pressure on the spinal nerves.
- Endoscopic Foraminotomy: Enlarging the space where nerves exit the spine to relieve nerve compression.
- Endoscopic Rhizotomy: A procedure that uses radiofrequency energy to block pain signals from nerves.
- Endoscopic Fusion Surgery: In cases where spinal stability needs to be restored, fusion surgery can be performed endoscopically, involving the placement of screws or rods.
How to Choose an Endoscopic Spine Surgeon
- Experience and Specialization: Ensure the surgeon has significant experience in performing endoscopic spine surgeries. This is a highly specialized technique, and the surgeon should have a proven track record in performing these procedures.
- Training and Certification: Look for board-certified orthopedic or neurosurgeons who have completed specialized training in endoscopic spine surgery.
- Patient Reviews and Success Rates: Check patient testimonials and outcomes for successful treatment of conditions like herniated discs or sciatica.
- Technology and Facilities: Choose a surgeon who operates in a facility with advanced technology and specialized equipment for minimally invasive spine procedures.
- Postoperative Care: Find a surgeon who offers comprehensive postoperative care, including physical therapy and follow-up consultations to ensure a successful recovery.
Recovery After Endoscopic Spine Surgery
- Shorter Hospital Stay: Many patients are discharged the same day or within 24 hours of surgery.
- Faster Return to Normal Activities: Most patients return to their daily activities within a few weeks, depending on the specific procedure and individual recovery.
- Physical Therapy: Postoperative physical therapy is often recommended to strengthen the back and improve flexibility.
- Follow-Up: Regular follow-up appointments with the surgeon are necessary to monitor healing and ensure successful outcomes.