R
R.M.
Minimally invasive TLIF at L4-L5
““I could stand straight the very next morning and walked the corridor with the physio.””
Condition: Spondylolisthesis with bilateral leg pain • Recovery: 3 weeks
Read full storyMinimally Invasive Spine Surgery
Advanced endoscopic techniques for faster recovery and better outcomes
Contact:+91-9778280044 •neurospinehyd@drsayuj.com •Appointments
What is Minimally Invasive Spine Surgery?
Minimally invasive spine surgery (MISS) uses advanced endoscopic techniques to treat spine conditions through smaller incisions, resulting in less muscle damage, reduced pain, and faster recovery compared to traditional open surgery.
Dr. Sayuj Krishnan specializes in endoscopic spine procedures, offering patients the benefits of modern surgical techniques with reduced trauma and quicker return to daily activities. Learn more about our local patient journey for endoscopic spine surgery in Hyderabad.
Procedures We Offer
Endoscopic Discectomy
Removal of herniated disc material through a small incision using endoscopic visualization.
Benefits:
- • Smaller incision
- • Less muscle damage
- • Faster recovery
- • Reduced pain
Typical Recovery: 1-2 weeks
Endoscopic Foraminotomy
Decompression of nerve roots through enlarged foraminal openings using endoscopic techniques.
Benefits:
- • Nerve decompression
- • Minimal tissue disruption
- • Quick return to activity
- • Lower infection risk
Typical Recovery: 2-3 weeks
Endoscopic ULBD
Unilateral laminotomy bilateral decompression for spinal stenosis using endoscopic approach.
Benefits:
- • Bilateral decompression
- • Preserved stability
- • Reduced blood loss
- • Shorter hospital stay
Typical Recovery: 2-4 weeks
Cervical Procedures
Endoscopic cervical discectomy and foraminotomy for neck and arm pain relief.
Benefits:
- • Anterior approach
- • Preserved motion
- • Minimal scarring
- • Quick mobilization
Typical Recovery: 1-2 weeks
Outcome metrics for Minimally Invasive Spine Surgery
Patient satisfaction
98%
Patients reporting improved quality of life six weeks after care.
Average hospital stay
2.1 days
Measured across routine cases without additional comorbid risk.
Return to work
86%
Patients resuming desk duties within the recommended timeframe.
Metrics are derived from internal audit data (rolling 12 months) and adjusted for case-mix. Individual recovery varies.
Patient Success Stories
When is MISS Recommended?
Suitable Conditions
- • Herniated discs (lumbar/cervical)
- • Spinal stenosis
- • Foraminal stenosis
- • Nerve root compression
- • Failed conservative treatment
Patient Selection
- • MRI-confirmed pathology
- • Symptoms match imaging findings
- • Failed 6+ weeks conservative care
- • No significant instability
- • Realistic expectations
Frequently Asked Questions
What is Minimally Invasive Spine Surgery?
Minimally invasive spine surgery (MISS) uses smaller incisions and endoscopic or microscopic instruments to reach the spine while gently moving muscles instead of cutting them. This approach reduces tissue trauma, pain, and blood loss compared to traditional open surgery.
What conditions can be treated with Minimally Invasive Spine Surgery?
MISS is recommended when conservative treatments no longer control symptoms from conditions such as herniated discs, spinal stenosis, foraminal stenosis, spinal deformities like scoliosis, and spondylolisthesis. The specific technique is chosen based on the level and nature of the pathology.
What are the core patient benefits of choosing Minimally Invasive Spine Surgery?
Patients typically experience less postoperative pain, reduced blood loss, minimal scarring, and faster recovery because the muscles and supporting tissues are preserved. Many MISS procedures allow a shorter hospital stay and an earlier return to normal activity.
How long does endoscopic spine surgery take?
Most endoscopic spine procedures take 1-3 hours depending on the complexity. Endoscopic discectomy typically takes 60-90 minutes, while more complex procedures like endoscopic ULBD may take 2-3 hours. The shorter operative time contributes to faster recovery.
What is the success rate of minimally invasive spine surgery?
Endoscopic spine surgery has success rates of 85-95% for appropriate candidates. Success depends on proper patient selection, accurate diagnosis, and surgeon experience. Dr. Sayuj Krishnan has performed over 500 endoscopic procedures with excellent outcomes.
When can I return to work after endoscopic spine surgery?
Most patients can return to desk work within 1-2 weeks after endoscopic spine surgery. Manual labor may require 4-6 weeks. Recovery time varies based on the specific procedure, your overall health, and the physical demands of your job.
Is endoscopic spine surgery covered by insurance?
Yes, endoscopic spine surgery is typically covered by most insurance plans when medically necessary. We provide detailed medical estimates and work with insurance companies for pre-authorization. Cashless insurance approvals are available at Yashoda Hospital.
What are the risks of minimally invasive spine surgery?
Endoscopic spine surgery has lower risks compared to open surgery, including reduced infection risk, less blood loss, and minimal muscle damage. Potential risks include nerve injury, bleeding, or infection, but these are significantly lower than traditional open procedures.
Recovery and Return to Activity
1
Week 1-2
Light walking, wound care, pain management
2
Week 2-4
Gradual activity increase, return to desk work
3
Week 4-8
Full activity, physical therapy if needed
Frequently Asked Questions
Is endoscopic surgery always better than open surgery?
Not always. We choose the approach that safely achieves the best outcome for your specific condition. Each case is evaluated individually.
How long is the hospital stay?
Most endoscopic procedures are day-care or require only 1-2 nights in the hospital, compared to 3-5 nights for traditional surgery.
When can I return to work?
Desk work can often resume within 1-2 weeks, while manual labor may require 4-6 weeks depending on the procedure and your recovery.
Related Conditions & Symptoms
Conditions We Treat
- Cervical Radiculopathy Treatment- Neck and arm pain from nerve compression
- Trigeminal Neuralgia Treatment- Severe facial pain management
- Brain Tumor Surgery- Advanced brain tumor treatment
Common Symptoms
- Signs of Brain Tumor- Early warning signs to watch for
- Head Pain Causes- Understanding different types of head pain
Patient Success Stories
Same-Day Endoscopic Discectomy
Read about a patient who achieved same-day discharge after endoscopic discectomy for severe sciatica.
Read story →Endoscopic ULBD for Lumbar Stenosis
Learn how endoscopic ULBD improved walking distance and leg pain for a patient with spinal stenosis.
Read story →Ready to Discuss Your Treatment Options?
Dr. Sayuj Krishnan provides expert evaluation and personalized treatment plans for spine conditions.
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 15 January 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.
Medical References
• American Association of Neurological Surgeons (AANS). "Minimally Invasive Spine Surgery." 2024.
• National Institute of Neurological Disorders and Stroke (NINDS). "Spinal Cord Injury Information Page." 2024.
• Mayo Clinic. "Spinal Fusion Surgery: What You Need to Know." 2024.
• NHS. "Spinal Surgery: Types and Recovery." 2024.
• World Health Organization (WHO). "Surgical Safety Guidelines." 2024.
Dr. Sayuj Krishnan S
Hospital:Yashoda Hospital, Room 317, OPD Block, Malakpet, Hyderabad 500036
Phone:+91 9778280044