Is this endoscopic technique suitable to all spine problems?
This endoscopic spine surgery is suitable to app. 90% of degenerative spine conditions that require intervention.

Are there any disc herniation that doesn't fit this technique?
Only certain conditions that involve spine instability. Most disc herniation, no matter their size are suitable for this endoscopic technique. The endoscope has a wide-angle vision that permits working on a relatively wide area in the spine.

Is this endoscopic technique suitable for severe spinal stenosis?
Yes, one procedure can take care of up to two levels.

Is this surgery suitable in cases of spondylolisthesis (slippage of on vertebra on the other) ?
Yes, spinal stenosis can be treated also in cases of spondylolisthesis. In many cases this is a stable condition and by doing endoscopic surgery fusion can be avoided.

What are the risks?
Complication rate with this technique is relatively small. This is explained by the excellent visualization and more careful surgery. Since incision is small the risk of infection or CSF leakage is extremely low.

What is the healing process?
Most patients ambulate couple of hours after the procedure and discharged home two hours later. Certain cases with general health issues may stay overnight for observation. Healing time may take 3-4 weeks and some may experience some difficulty in ambulating  for few days with sourness in the surgical area. Some return to office work couple of weeks after surgery. It is recommended to avoid exercise 4 weeks following the procedure.

Is this procedure recommended in the elderly?
Certainly. The advantage is clear, short hospital stay and almost immediate ambulation can lower the complication rate (deep vein thrombosis, pulmonary embolism, infection, etc.).