Microendoscopic surgery is the most advanced and least invasive form of spine surgery currently available.
Patients return home within hours of the procedure.
Microendoscopy involves the placement of a small tube through a one-half inch incision, and highly specialized instruments to remove disc material and bone spurs that are pressing on nerves and causing pain.
This technique maintains the integrity of the muscles and ligaments and supporting structures of the spine, allowing patients to avoid traditional spine surgery and fusion procedures and get back to an active, healthy life, without limitation.
TOP: Preoperative (Left) and Postoperative (Right) Sagittal MRIs demonstrating severe spinal stenosis and compression of the spinal nerves on the left and significantly increased space for the nerves on the right after surgery. The spinal canal is outlined in red.
BOTTOM: Preoperative (left) and Postoperative (right) MRI after Microendoscopic decompression surgery demonstrating relief of spinal stenosis and decompression of the spinal nerves after surgery. The enlarged spinal canal is outlined in red. After surgery, the nerves (black) have a significant amount of available space demonstrated by the presence of fluid (white) within the canal. Preoperatively, the patient suffered from severe back and leg pain secondary to spinal nerve compression. After surgery they had relief of their preoperative back and leg pain and were discharged from the surgery center within hours of the procedure.
Dr. Simpson and MSI don’t just stay up to date on the most revolutionary techniques by reading scientific articles; they are the ones writing them. There is a great deal of evidence for microendoscopic spine surgery, published in the most prestigious spine surgery journals, demonstrating the effectiveness of endoscopic and microendoscopic techniques, faster recovery, lower complication rates, and the avoidance of fusion surgery. Dr. Simpson has written numerous scientific articles on microendoscopic spine techniques in conjunction with his colleagues from Japan, some of which are discussed here with links available for further reading.
Minimally invasive decompression for degenerative lumbar spondylolisthesis and stenosis maintains stability and may avoid the need for fusion.
Many patients with spondylolisthesis (slipped disc), who are commonly treated with fusion surgeries, can be effectively treated with an outpatient microendoscopic procedure and can usually avoid fusion surgery.
Minimally invasive spinal decompression surgery for lumbar stenosis with degenerative scoliosis: Predictive factors of radiographic and clinical outcomes.
Some patients with low grade scoliosis and spinal stenosis can avoid more complex multilevel fusion operations and do very well with outpatient microendoscopic decompression.
Microendoscopic laminotomy versus conventional laminoplasty for cervical spondylotic myelopathy: 5 year follow-up study.
Many patients with stenosis in their cervical spine can be treated with microendoscopic decompression, and have less postoperative pain than more traditional surgical approaches.
This video demonstrates some clips from Dr. Simpson’s microendoscopic procedures. He primarily uses procedural videos for teaching the Harvard spine fellows and residents or teaching other surgeons during lectures, but they are available here for patients who might be interested.
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