Endoscopic Spine Surgery: Technique, Benefits, Risks, and Management

16 Jan 2026 | By Dr. Ashwani Maichand Endoscopic Spine Surgery

An excellent example of advancements in medical science is endoscopic spine surgery (ESS). Previously, patients were often anxious about spine surgery due to large incisions, complex procedures, and long recovery periods. With ESS, these concerns are largely eliminated.

Endoscopic spine surgery is a minimally invasive technique that treats various spine conditions causing back pain. ESS typically requires small incisions, local anesthesia, and shorter hospital stays, offering faster recovery and less post-operative discomfort.

How Endoscopic Spine Procedures Are Performed

Endoscopic Spine Surgery Procedures

A tiny camera called an endoscope is inserted through a small incision (usually less than an inch). Surgical instruments are passed through the endoscope, allowing a neurosurgeon to treat spinal conditions such as herniated discs, bone spurs, and spinal stenosis without large incisions or general anesthesia.

ESS is minimally invasive, preserving muscle function and offering superior post-surgery spine mobility. Local anesthesia is commonly used, making the procedure safer and more comfortable for patients.

Advantages of Endoscopic Spine Surgery Compared to Traditional Procedures

Endoscopic spine surgery has several benefits over traditional spine surgery:

  • Minimal muscle damage
  • Reduced tissue dissection
  • Minimal blood loss
  • Lower risk of epidural fibrosis and scarring
  • Shorter recovery period
  • Lower risk of infection
  • Reduced post-operative pain
Open Surgery vs Minimally Invasive Surgery

Patients recover faster, spend less time in the hospital, and experience high success rates. However, not all spinal conditions—such as trauma, scoliosis, cancer, or spinal instability—are suitable for ESS. The type of surgery is determined by a specialist neurosurgeon based on individual conditions.

Also Read: Endoscopic Spine Surgery

Why Choose Endoscopic Spine Surgery?

Common causes of persistent back pain include:

Endoscopic Spine Surgery
  • Bone spurs on the spine
  • Rheumatism
  • Disc herniation
  • Swollen discs
  • Lumbar stenosis
  • Disc-related back pain
  • Sciatica
  • Persistent facet syndrome
If any of the above conditions cause your back pain, endoscopic spine surgery may be an option.

Endoscopic Spine Surgery Treatment Options

ESS is highly beneficial for patients over 65 or those with degenerative or herniated discs. It offers excellent outcomes, minimal complications, and faster recovery. However, spinal surgery is usually the last option; surgeons often recommend non-surgical approaches like spinal injections and physical therapy first.

Looking for an Endoscopic Spine Surgeon in Delhi NCR? Contact Dr. Ashwani Maichand

Dr

Dr. Ashwani Maichand

MBBS, MS(Orthopaedics) | Mch(Orthopaedics)

- Sr. Consultant & Director at Minomax Orthopaedics

- Director Orthopaedics, CK Birla Hospital

- Fellowship Joint Replacement (USA & GERMANY)

- Visiting Surgeon HELIOSENDO at klinik, Hamburg, Germany

Dr. Ashwani Maichand brings with him a rich experience of Orthopaedics, more than a decade of which has been dedicated to joint reconstruction.

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