Endoscopic spine surgery — often called keyhole spine surgery — is a modern, minimally invasive technique that uses a small endoscope and specialised instruments passed through a tiny incision to treat selected spine problems. Dr. Arun Reddy M is a fellowship-trained endoscopic spine surgeon in Hyderabad performing endoscopic discectomy and decompression at CARE Hospitals, Gachibowli.
What is endoscopic spine surgery?
In endoscopic spine surgery, the surgeon works through a portal roughly the size of a pencil, guided by a high-definition endoscopic camera. Because most surrounding muscle is spared, this approach can lead to smaller scars, reduced blood loss and, for the right patient, earlier mobilisation. It is well suited to certain herniated discs and cases of spinal canal narrowing.
Who may benefit
Endoscopic techniques are considered for selected patients with slipped disc, sciatica, lumbar canal stenosis and some cervical disc problems. However, endoscopic surgery is not the answer for everyone. Complex deformity, gross instability or extensive degeneration may need conventional or microscopic surgery. The correct choice is made only after a thorough clinical assessment and MRI review.
How the procedure is performed
The procedure is typically performed under regional or general anaesthesia. A small incision is made, an endoscopic portal is placed under X-ray guidance, and the compressed nerve is decompressed with specialised instruments while the surgeon watches on a HD monitor. Time in the operating room is usually one to two hours for a single-level procedure.
Recovery and outcomes
Many patients are able to sit up and walk within a few hours and are often discharged within 24 hours. A personalised recovery plan — including posture, ergonomics and graduated activity — is provided at discharge, along with a follow-up schedule. Results vary by patient and diagnosis; realistic expectations are discussed openly during your consultation.