August 4, 2025

Back pain is one of the most common reasons patients visit spine specialists. When the cause is a herniated disc or spinal instability, it can be debilitating, affecting mobility, posture, and daily life. Fortunately, with the advancement of spine surgery, procedures like Endoscopic Discectomy and Spinal Fixation offer a safe, effective, and minimally invasive solution.

In this blog, we will explore the details of this dual technique—how it works, who benefits from it, and why Dr. Nirmal Patil, a renowned Orthopaedic Spine Surgeon in Pune, is a trusted name for this advanced procedure.

🧠 Understanding the Spine and Disc Issues

The human spine is a complex structure made of bones (vertebrae), intervertebral discs, ligaments, and nerves. The discs function as cushions between the vertebrae, allowing flexibility and shock absorption.

Sometimes, due to injury, aging, or sudden strain, the disc may bulge or rupture—a condition known as a herniated disc or slipped disc. When the herniated disc compresses a spinal nerve, it can lead to:

  • Severe back or neck pain
  • Pain radiating to arms or legs (sciatica)
  • Numbness, tingling, or weakness
  • Difficulty walking or standing

In cases where the disc herniation is severe or associated with spinal instability (movement between two vertebrae), surgical treatment becomes necessary.

🛠️ What is Endoscopic Discectomy?

Endoscopic Discectomy is a minimally invasive procedure where a herniated disc is removed using a small endoscope through a tiny incision (about 8-10 mm). A camera at the end of the endoscope allows the surgeon to see the structures in high resolution and remove the protruded disc material compressing the nerve.

✅ Benefits of Endoscopic Discectomy:

  • Small incision, less than 1 cm
  • Performed under local or spinal anesthesia
  • No major blood loss
  • Minimal post-operative pain
  • Day-care procedure in many cases
  • Quick recovery and return to normal life

🔩 What is Spinal Fixation?

In some patients, especially those with instability between vertebrae or degenerative disc disease, Spinal Fixation is performed alongside discectomy. This involves placing screws and rods or plates to stabilize the affected spinal segment.

Common indications for fixation include:

  • Spondylolisthesis (slipping of one vertebra over another)
  • Recurrent disc herniation
  • Severe disc degeneration
  • Trauma/fractures involving instability
  • Failed back surgery syndrome

Spinal fixation ensures that the operated segment remains stable and heals in the correct position.

🔬 When is Combined Endoscopic Discectomy with Fixation Recommended?

The combination of Endoscopic Discectomy and Spinal Fixation is recommended when:

  • There is a herniated disc and segmental instability
  • The disc has recurred after previous surgery
  • There is nerve compression along with vertebral movement
  • A slipped disc coexists with degenerative spine conditions

This combined approach addresses both the source of nerve pain (herniated disc) and the mechanical issue (instability)—leading to long-term relief.

Recovery and Aftercare

After Endoscopic Discectomy and Spinal Fixation:

  • Walking begins within 4–8 hours (in most cases)
  • Discharge is possible in 24–48 hours
  • Stitch removal after 7–10 days (if non-absorbable)
  • Resume light work in 1–2 weeks
  • Full activities (including driving, bending, etc.) in 6–8 weeks
  • Regular follow-ups for rehabilitation and spinal strengthening

Dr. Nirmal Patil provides a detailed rehabilitation plan including posture correction, physiotherapy, and ergonomic training to prevent recurrence and ensure long-term wellness.

For Consultation Contact us on 9158680739 / 9158681123

Website -⁦ www.chetnahospital.co.i⁩n

Address – Chetna Hospital, Sambhajinagar, MIDC, G Block, Near Rotary Club, Chinchwad 411019

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