Endoscopic Spinal Discectomy -
(What is the limitation)

Full Endoscopic Spinal discectomy advances in instrumentation and techniques, and surgeon experience left no real limitation when it comes to surgery on the posterior lumbar spine as both transforaminal and inter-laminar approaches allow dealing with almost all cases, some technical and anatomical features can be difficult but all are possible to safely do in the lumbar region. There are limitations to dealing with some intra-dural lesions and cases requiring dural repair as current instruments and methods are not fully developed and effective to deal with these rare cases.  

In the thoracic spine, posterior transforaminal surgery is very effective in many cases, but the posterior inter-laminar approach is limited due to the anatomy of the thoracic spine leaving no inter-laminar space. Without going into very technical details for the general public understanding, posterior thoracic decompression is very rarely needed.

In the Cervical spine, both anterior and posterior techniques were developed but there is a reservation on both for the following reasons. the posterior technique is rather safe and yields good results, but in my view, this only resolves arm pain and does not resolve the axial neck pain related to the degenerative disc disease, As the anterior cervical spine is fairly easy, safe, and resolve both arm and neck pain with no significant morbidity and excellent long term results, I prefer anterior surgery with artificial disc replacement as a full lifetime solution. The Anterior endoscopic approach is possible but carries possible risks even for inexperienced hands which are not justified in my opinion as no real advantage with this technique when analyzing the benefit/risk ratio.  

At Dr. Rami Hamed Center - Dubai, we analyze the benefit /risk ratio of each discectomy procedure and offer our patients the most suitable solution and of course, endoscopic technique is our top-of-the-list priority whenever applicable.   

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Dubai Orthopedic Clinic / Dubai Spinal Surgery Clinic - Are you looking for a spine hospital in Dubai a backbone specialist in Dubai the best spine doctor in Dubai or a back pain clinic in Dubai? Dr Rami Hamed Center is the leading neuro-spinal hospital in Dubai with expert spinal surgeons for Lumbar disc prolapse, Scoliosis Treatment, Spinal Deformity, and so on. DRHC offers the best Specialist Surgeons for Spinal Conditions. Our back pain and spinal surgery clinic is fully equipped with advanced medical equipment. To book your appointment please call +97142798200 today!