Endoscopic lumbar fusion is a newer endoscopic spine surgery. The procedure has only been available for a few years. As mentioned in previous posts, endoscopic spine surgery is a highly technical, minimally invasive technique that can be instrumental in alleviating back pain and/or leg pain where other more conservative treatments have failed. Endoscopic spine surgery is much less invasive than traditional surgical options.
Endoscopic lumbar fusion is recommended for patients with disc disease who have back pain with or without leg pain, spondylolisthesis, recurrent disc herniation, degenerative scoliosis, pseudoarthrosis, and spinal stenosis. The surgery is typically utilized after other more conservative approaches have failed to relieve pain in the patient. In this procedure, all of the diseased disc is removed from in between the two adjacent vertebrae. The vertebrae are then fused together using a bone graft.
Traditional lumbar fusion surgery would require an 8- to 10-inch incision and would involve significant post-operative pain due to the amount of muscle and bone that must be cut. With endoscopic surgery, there are two incisions that are 2-1/2 inches in length on either side of the spine as well as two ½ inch incisions through which the video camera is inserted. Most of the time muscles are moved out of the way rather than cut and there is minimal bone cutting. Because of the reduced amount of surgical “trauma”, rather than a 4- to 5-day hospital stay, the patient can go home between 12 and 23 hours after the procedure. The postoperative discomfort is generally very well controlled immediately after surgery using advanced pain management techniques.
The advances in endoscopic spinal surgery are incredible and growing each day. For the right patients, endoscopic spine surgery can make a remarkable difference. We have successfully performed surgery on patients who have been turned away by other surgeons with no hope whatsoever. These procedures are allowing myself and other physicians to help patients live without chronic pain. Being able to offer this type of pain relief is extremely rewarding.
Dr. Siegfried partners with Dr. Quartararo on all endoscopic surgical procedures. Both are highly trained professional physicians who have been educated at some of the nation’s finest universities. Dr. Louis Quartararo is a board-certified Orthopedic Surgeon with advanced training in the fields of Orthopedic Trauma and Spine Surgery from the prestigious John Hopkins University. Dr. Siegfried is a board-certified pain management specialist and former Director of The Pain Management Center at Columbia-Presbyterian Medical Center in New York. If you are someone you know is suffering from chronic back pain and/or leg pain and would like to schedule an appointment with Dr. Siegfried, please call our office at 973.796.5216 to schedule.