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Endoscopic spinal decompression is a minimally invasive technique used to relieve pressure on spinal nerves caused by a herniated disc, bone spurs, or spinal stenosis, performed through a very small incision using a thin endoscope fitted with a camera and light source that transmits a magnified view of the affected area to a monitor. Working through a tube inserted at the target level, the surgeon uses specialized narrow instruments to remove the disc fragment, bone, or ligament tissue responsible for the compression while causing minimal disruption to the surrounding muscle and healthy spinal structures. Because the access point is so small, this approach is typically associated with less postoperative pain, reduced blood loss, and a faster return to daily activity compared with traditional open decompression surgery, and it can often be performed under local or regional anesthesia with sedation rather than general anesthesia. Suitable candidates are identified through careful review of MRI imaging to confirm that the compression is at a level and location accessible to the endoscopic approach. India's spine centres have increasingly adopted endoscopic decompression as an option for well-selected patients seeking a less invasive alternative to conventional surgery, with structured rehabilitation to follow.
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