A New Era in Back Surgery: Endoscopic Spine

Back pain and leg pain are among the most common health problems today. Many people experience these issues due to conditions such as a slipped disc or nerve compression. Until a few years ago, patients with severe symptoms had only one major option – open spine surgery. While effective, it required large cuts, involved considerable blood loss, and often meant a long and painful recovery.

Medical advances have now introduced a far gentler alternative – endoscopic spine surgery. This is a minimally invasive procedure where surgeons operate through a cut smaller than 1 cm, often referred to as “keyhole surgery.” A thin tube with a tiny camera and special instruments is inserted to reach the affected area. The surgeon then views a magnified image on a screen and carefully removes the problem without disturbing the surrounding tissues.

This approach offers several advantages. Since the muscles are not cut, radiation exposure is minimal, and blood loss is very low, patients recover much faster. In fact, most can walk on the same day and return home within 24–48 hours. Many resume work and normal activities within a few days to weeks, which is a huge relief compared to the prolonged bed rest once required after open surgery.

Another benefit is that endoscopic spine surgery can often be performed under local anesthesia, making it safer for elderly patients or those with other health concerns. The procedure leaves almost no scar, preserves strength, and restores mobility more naturally.

Of course, not every spinal condition can be treated this way. Complex deformities or unstable spine problems may still require traditional surgery. That’s why it is important to consult a trained spine specialist who can assess the condition and recommend the most suitable treatment.

Endoscopic spine surgery has truly transformed the way back problems are treated. By combining safety, precision, and quicker recovery, it is helping patients return to their normal lives with greater comfort and confidence.

Featuring insights from Dr. Chetan S. Pophale, Senior Consultant – Endoscopic Spine surgeon, Apollo Specialty Hospitals, OMR, Chennai.

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