Moving Away from Fusion by Treating the Pain Generator: The Secrets of an Endoscopic Master

There are viable minimally invasive technologies and minimally invasive surgical procedures that make it feasible to move away from fusion as an early surgical option for treating chronic low back pain if non-surgical methods fail. Surgeons who are familiar with and who have training in endoscopic spine surgery are able to utilize the transforaminal endoscopic approach to the lumbar spine and use these endoscopic techniques to identify and treat the pain generators with the least invasive, most effective methods available. Sub-acute and chronic causes of debilitating back pain are effectively treated in trained hands. The “surgeon factor” is a critical step for each endoscopic surgeon who needs to possess a wide range of surgical experience and skill to pick the procedures and techniques that works best, limited only by their own surgical experience and ability.