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Endoscopic Spine Surgery? vs fusion?

Hi everyone, I've finally come to terms with the fact that I need surgery, cord compression from c6/7. I'm now trying to decide how to deal with it. I went to a Dr. who recommended Endoscopic Spine Surgery, which basically is a minimally invasive technique, where the go in with a scope tool, and cut away just the part of the disc that is protruding, which would alleviate the pressure on my cord, and in theory, get rid of the cord compression, my tingly painful arms, etc. What is everyone's thought on this? Is it a legit procedure? It sounds like it would only buy me 5-10 years, then i would have to get the fusion, or whatever is the norm at that time.

My concern is that I will still be at risk to injure myself further. I want to be able to have no, or light restrictions like after having a fusion.

Please let me know your thoughts and opinions on this surgery

thanks!

Jeff
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Comments

  • jeffnj said:
    I want to be able to have no, or light restrictions like after having a fusion.

    Keep in mind that fusion is not a guarantee. There are tons of people with fusions that are in the same or worse pain than before; there are consequences to pay with fusions.

    Are there many successful fusions? Sure, but there is a high incidence of failure too.
    -----------------------------
    On the sunny and mild Central Coast of California

    L4-L5 endoscopic transforaminal microdiscectomy June, 2007
    L5-S1 endoscopic transforaminal microdiscectomy May, 2008
  • Hi Paul, thanks, yes I'm aware about the fusions failure rate, hopefully i wont be on that side of the scale! Im really interested in people's opinion on the endoscopic surgery, is it worth it to just have the protruding disc cut away??
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  • I think it's worth it. I had it twice and would do it again in a heartbeat if I needed to. The herniated material was grasped out with forceps. Other versions use hydrocision or laser.

    Now, I knew ahead of time that I would have to accept the downside of limiting my activities in order to preserve the surgeon's work. For me, the upside of not having an invasive surgery was worth it. Here it is 6 years later, I'm pain-free and hanging in there.
    -----------------------------
    On the sunny and mild Central Coast of California

    L4-L5 endoscopic transforaminal microdiscectomy June, 2007
    L5-S1 endoscopic transforaminal microdiscectomy May, 2008
  • Hi

    My surgeon does endoscopic disc replacement and he says not many surgeons in my area does this.

    I am concerned abt the risk here more so than just a normal cut of protruding disc. The entire disc will be removed and replaced with an artificial one all done through a keyhole incision thru' the neck.

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