Biportal Endoscopic Spine Surgery
Two openings of about 5 mm are made: one for the endoscope and one for surgical instruments.
Under regional anesthesia, the surgeon removes the lesion while looking at it directly through a high-resolution magnifying endoscope. It gives the result of surgery with the gentleness of a procedure, removing the lesion while limiting damage to nearby nerves, muscles, blood vessels and endplates for a fast, safe recovery.
Why biportal endoscopy?
- One side holds an ultra-precise endoscope and the other the instruments, so only the thickened ligamentum flavum and bone spurs causing stenosis are removed, treating the root cause of back pain.
- The field of view is wider and sharper than in conventional spine surgery, so it can treat many conditions, including spinal stenosis and disc herniation.
Recommended for
- Severe disc rupture or spinal stenosis
- No improvement after non-surgical treatment
- Leg numbness, ankle weakness or bladder and bowel problems
- Complex disc disease with facet joint problems or stenosis
Minimal skin incision
Only an incision under 1 cm, with almost no bleeding or scarring compared with open surgery.
Precise, careful surgery
Precise work without putting nerves at risk.
High success rate
Almost no bone is removed, so the spine is not destabilized after surgery.
Questions patients ask
Can I walk right after surgery?
Yes, after about 30 minutes of rest.
I'm older and worried about complications.
Spinal endoscopy is minimally invasive through a 1 cm opening, with little bleeding and no need for transfusion, so the risk of side effects and complications is low.
Is it true there's almost no scar?
Yes. Unlike older spine surgery with incisions over 2 cm, it leaves almost no scar while allowing detailed treatment.
When is spinal endoscopy not possible?
When the herniated disc has migrated far up or down, in severe degenerative spondylosis with narrowed disc space, severe lumbar stenosis, spinal instability, or disc lesions with bone spurs.
AftercareExcess scar tissue can grow at the surgical site and cause pain, so an anti-adhesion agent may be applied to prevent adhesions around the nerve.