Endoscopic Cervical Spine Surgery in Hyderabad: When It’s Recommended and What to Expect

Endoscopic cervical spine surgery uses a small working channel and high-definition camera to decompress a pinched nerve while preserving muscles and motion segments. For carefully selected patients with arm pain from cervical radiculopathy, it can reduce postoperative pain, shorten hospital stay, and speed return to work compared with open techniques.

Who is a candidate?

• Unilateral arm pain/tingling (C5–C7) with matching MRI showing paracentral/foraminal disc or osteophyte.
• No segmental instability on dynamic X-rays (fusion preferred if unstable).
• Failed 6–8 weeks of targeted physiotherapy, neuropathic medication, or selective nerve root block.
• Good neck alignment without kyphosis at the treated level.

Procedure options

Access is typically through a 7–8 mm working portal. Discectomy removes offending fragments; foraminotomy widens the bony canal to free the nerve. Navigation and neuromonitoring enhance safety near the spinal cord. Fusion (ACDF) or arthroplasty remains the choice when instability or multilevel collapse is present.

• Endoscopic discectomy: Targeted removal of herniated fragment with minimal bone work.
• Endoscopic foraminotomy: Uncinate and foraminal drilling to relieve bony stenosis.
• Hybrid planning: MISS at one level plus ACDF at an unstable level when needed.

Recovery milestones

• Same-day mobilisation; soft collar only for comfort if advised.
• Desk work: 7–10 days. Light activity: 2–3 weeks. Full activity: 4–6 weeks with physio clearance.
• Red flags after discharge: worsening weakness, bowel/bladder change, fever, or wound issues.

When fusion is preferred

Significant instability, kyphosis, or multilevel collapse still favour ACDF or arthroplasty. Endoscopic techniques complement but do not replace stabilising procedures when biomechanics demand it.

How to prepare

• Share MRI, dynamic X-rays, and nerve conduction studies before consult.
• Optimise blood pressure/diabetes; stop smoking to improve healing.
• Clarify insurance pre-auth for endoscopic procedures and implants.