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Explore ultra-minimally invasive treatment options designed to restore function, preserve motion, minimize pain, and get you back to the life you love.

Endoscopic Spine Surgery Is Here

You Are Not Alone

Eight out of 10 adults experience back pain in their life.1,2

The spine is one of the most complex structures in the human body and plays a critical role in allowing movement and providing stability. Damage due to an injury or condition can affect the spine’s ability to move like it should, and you may experience symptoms including pain or discomfort, numbness, weakness, muscle stiffness, and more.

No matter the cause, this can be debilitating for many people. Whether your back pain resulted from a minor injury or you experience chronic pain and haven’t found relief, ultra-minimally invasive endoscopic procedures have been shown to provide relief,3 improve function, and preserve the natural motion of the spine.

A spinal vertebrae

What Is Endoscopic Spine Surgery?

Endoscopic spine surgery is an ultra-minimally invasive surgical technique performed by either an orthopedic surgeon or neurosurgeon. Often, these procedures can be performed in an outpatient setting, potentially allowing you to go home the same day.4

An Arthrex branded endoscope

Specially designed instruments like the endoscope, which is about the width of a pencil tip, allow surgeons to view and reach small areas of the spine without the need for the large incision required for traditional back surgery. This minimizes disruption and damage to muscles responsible for stabilizing the back and reduces the need to remove bone. 

84%

returned to work in 10 days or fewer5

88%

of patients returned to athletics6,7

Endoscopic Surgery Compared to Other Treatments
Tap Images
Endoscopic Surgery
Ultra-Minimally Invasive
Cervical, Thoracic, and Lumbar
Minimally Invasive Surgery
Open Surgery

Why Endoscopic Spine Surgery?

Faster recovery and return to normal activity8

A girl playing racquetball

Fewer postoperative complications and infections and less postoperative pain3,4,9

A woman doing yoga stretches in front of the ocean

Shown to require fewer or no narcotic pain medications10

A hand holding three prescription packages over a trash bin

Smaller incisions help prevent damage to major muscles in the back11

A male doctor touching the back of a male patient

Patient-Specific Treatment Options

There are several endoscopic spine procedures designed to treat often-painful conditions including herniated discs, spinal stenosis, arthritis, and osteoarthritis by targeting the specific area causing pain.

Your doctor may recommend one of these options if:

  • Nonsurgical treatments (such as pain medication, physical therapy, steroid injections, and nerve blocks) have stopped working or are not right for you  
  • ‍You are not a candidate for more invasive surgeries (such as spinal fusion) 
  • You have undergone surgery, like a fusion, but are still experiencing pain and/or other symptoms


In diagnosing your condition and identifying the best treatment, your doctor will consider x-ray and MRI results, your medical and treatment history, postoperative goals, and other factors. Discuss with your physician whether you are a candidate for an endoscopic spine procedure.

What It Treats

Facet joint arthritis that causes low-back pain

What It Is

A procedure that pinpoints the source of pain and addresses it

How It Works

Your surgeon will use an ultra-minimally invasive endoscopic approach to reach and view the medial branch nerve, then transect it. By cutting this sensory nerve, neural receptors can no longer receive the pain signals transmitted from nearby arthritic joints and the nerve cannot grow back to cause pain again.

What Are the Benefits?

  • More permanent than radiofrequency ablation
  • 75% of patients had significantly reduced pain after 5 years12
As with all endoscopic spinal surgeries, risks include neurological injury, vascular injury, visceral injury, recurrence, dysesthesia, and incomplete decompression. Additional complications may also occur, including dural tear, hematoma, infection, instability, and facet joint injury.
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What It Treats

Herniated discs and spinal stenosis

What It Is

Most commonly used to treat herniated discs in the lower back, generally at the L4/L5 or L5/S1 levels of the lumbar spine

How It Works

Your surgeon will use small ultra-minimally invasive instrumentation, including a spine endoscope and high-resolution camera, to reach the herniated disc, then remove and repair it.

What Are the Benefits?

  • “Bandage” surgery requiring just a tiny incision
  • Similar outcomes for pain, patient satisfaction, hospital stay, and complications compared to transforaminal approach13  
As with all endoscopic spinal surgeries, risks include neurological injury, vascular injury, visceral injury, recurrence, dysesthesia, and incomplete decompression. Additional complications may also occur, including dural tear, hematoma, infection, instability, and facet joint injury.
Read More
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See Technique
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What It Treats

Herniated discs

What It Is

Most commonly used to treat herniated discs in the lower back, generally at the L4/L5 or L5/S1 levels of the lumbar spine

How It Works

Your surgeon will make a small incision along the “ridge” of your back above the herniated disc. The ultra-minimally invasive endoscope allows your surgeon to get a direct view of the herniation and remove it so the disc can be repaired.

What Are the Benefits?

  • Minimizes soft-tissue damage and muscle disruption11
  • Maximizes preservation of bone11
  • Similar outcomes for pain, patient satisfaction, hospital stay, and complications compared to interlaminar approach13
As with all endoscopic spinal surgeries, risks include neurological injury, vascular injury, visceral injury, recurrence, dysesthesia, and incomplete decompression. Additional complications may also occur, including dural tear, hematoma, infection, instability, and facet joint injury.
Read More
open_in_new
See Technique
arrow_forward

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Ready to talk to a doctor? Download this list of questions to ask as you explore your surgical options for Spine.