• Max Super Speciality Hospital Noida Jaypee Hospital Rd, Goberdhanpur, Sector 128, Shahpur Govardhanpur Bangar, Noida, Uttar Pradesh 201304
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Endoscopic spine surgery

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Endoscopic Spine Surgery | Dr. Pramod Saini

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Endoscopic Spine Surgery in Noida – Smaller Incision, Faster Recovery Endoscopic spine surgery has transformed the treatment of selected spinal conditions, particularly slip disc and nerve compression causing sciatica. Unlike conventional open surgery, endoscopic spine surgery uses a small incision and a specialized camera to visualize and decompress the affected nerve while minimizing damage to surrounding muscles and tissues. Why choose endoscopic spine surgery? Dr. Pramod Saini, Associate Director and Spine Surgeon at Max Super Speciality Hospital, Sector 128, Noida, specializes in advanced endoscopic and minimally invasive spine surgery. The suitability of endoscopic surgery depends on the patient’s symptoms, imaging findings, and spinal condition. When do I need to see a Spine Surgeon? A backache doesn’t necessarily require surgery. Doctors usually recommend medication, physiotherapy, lifestyle changes, and other conservative treatments before considering surgery. But if none of this helps, then the spine specialist has to assess if a certain surgical procedure is indicated or not. For example, if a herniated disc herniates and causes pressure on a nerve it may cause radiation pain which begins in the lower back and goes into the leg. There could also be loss of sensation or motor weakness. Therefore, a qualified spine surgeon should examine the patient to identify the cause and severity of nerve involvement. Recovery After Endoscopic Spine Surgery The patient’s overall health, the severity of the spinal condition, and the type of surgery determine the recovery time.Thus, it is impossible to predict how long it will take to heal completely after endoscopic spine surgery in a particular case. Nevertheless, most patients can resume light activities a few days after the operation, since the incision is small, and the tissues of the spine are not subjected to severe trauma during the procedure. However, follow your doctor’s instructions and consult your surgeon before driving, returning to the gym, or resuming strenuous activities. Spine Surgery Treatment in Noida A responsible choice of a qualified spine specialist is the key to the rapid healing and high-quality treatment. Dr. Pramod Saini is an Associate Director & Spine Surgeon at Max Super Speciality Hospital, sector 128, Noida. He has been practicing endoscopic and minimally invasive spine surgeries for a long time now. During the consultation, Dr. Pramod Saini will evaluate the patient’s symptoms and spinal condition. He will review the patient’s medical history and examine the diagnostic test results.. Hence, the spine surgeon can provide the necessary information about the treatment options and estimate whether endoscopic intervention is indicated. In case of chronic lower back pain, pain in the sciatic nerve, or any other symptoms that limit a person’s daily functioning, a consultation with an experienced spine specialist is essential.

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Internal Gibbectomy -Tubercular Kyphosis: A Surgical Approach

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Late Neurological Deterioration -Tubercular Kyphosis: The Role of Internal Gibbectomy Severe post-tubercular kyphosis can occasionally cause neurological deterioration many years after the active infection has healed. A prominent internal gibbus can compress an already stretched and compromised thoracic spinal cord, producing progressive myelopathy and difficulty walking. A recent case illustrates this problem. A 40-year-old man had been treated for MDR spinal TB involving D6–D7 seven years earlier. He underwent left-sided costotransversectomy without fixation at another centre. Although the infection was drained, the angular deformity remained. Following a stormy postoperative course with paraplegia, sepsis, pneumothorax, AKI and ventilatory support, he gradually recovered. With prolonged ATT and rehabilitation, his neurological function improved sufficiently for him to walk with a stick and return to work. For several years he remained stable. However, six months ago, he again developed progressive imbalance, heaviness of the legs and difficulty walking. CT and MRI demonstrated a severe angular kyphosis with an internal gibbus causing thoracic spinal cord compression at D6–D7. Importantly, the anterior column was already solidly fused. Choosing Decompression Over Aggressive Correction Modern spine surgery allows major deformity correction using advanced posterior instrumentation and vertebral column resection techniques. However, aggressive correction of a rigid deformity is not necessarily appropriate for every patient—particularly when the spinal cord is already compromised. In this case, a posterior internal gibbectomy with posterior instrumentation was performed using a posterior VCR-type approach. Bilateral transpedicular decancellation created sufficient space to carefully push the internal gibbus anteriorly and decompress the spinal cord without rib excision or aggressive correction of the deformity. The patient noticed improvement in leg heaviness within 48 hours and started mobilizing with an improved gait. An Old Principle with a Selective Modern Role Internal gibbectomy remains relevant in carefully selected cases of healed spinal tuberculosis with severe angular kyphosis and late-onset neurological deterioration. Modern spine surgery is not simply about achieving maximum deformity correction. The surgical strategy should be individualized according to the pathology, neurological status and risk to the spinal cord. Sometimes the best correction is not maximum correction—but the safest possible decompression. Dr. Pramod SainiOrthopaedic Spine Surgeon, Noida

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Endoscopic Spine Surgery Workshop at Max Hospital Noida

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Advancing Endoscopic Spine Surgery Through Training and Academics The Department of Orthopaedic Spine Surgery and Neurosurgery at Max Super Speciality Hospital, Noida, successfully organised a focused Monopolar Endoscopic Spine Surgery Workshop on 20th September 2026. The programme provided structured academic and practical exposure to surgeons interested in endoscopic spine surgery. The workshop combined lectures, interactive discussions, surgical tips and tricks, and hands-on endoscopic training using bone models. The organizers limited participation to 15 delegates, allowing greater interaction between faculty and participants. The workshop invited national faculty Dr. Abhinandan Reddy from Hyderabad and Dr. Gaurav Chamle from Aurangabad, along with Dr. Pramod Saini as the local faculty. Delegates’ highly encouraging response has provided the foundation for developing this initiative further. The aim is to make it an annual academic workshop, progressively increasing participation and creating a platform for education and training in Endoscopic Spine Surgery.

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Microdiscectomy for Slip Disc & Sciatica

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Microdiscectomy: Minimally Invasive Treatment For Slip Disc And Sciatica A herniated disc can cause more than back pain. Microdiscectomy may help relieve symptoms such as sciatica, numbness, tingling, or weakness down the leg when medicines, physiotherapy, injections, and exercises do not provide enough relief. Understanding the Procedure A microdiscectomy removes the portion of a herniated disc that presses on a nerve root. The surgeon uses a small incision and special instruments to reach and remove the bulging disc fragment. Doctors also call this procedure microdecompression, keyhole spine surgery, or minimally invasive discectomy. In some cases, the surgeon uses an endoscope to perform the procedure. When Should You Consider Surgery? Surgical treatment isn’t necessary for all slipped discs. If your symptoms improve without surgery, your spine specialist may recommend continuing non-surgical treatment. However, if leg pain continues after several weeks of non-surgical treatment and tests show that a disc is pressing on a spinal nerve, your surgeon may recommend this surgery. Dr. Pramod Saini, Endoscopic and Minimally Invasive Spine Surgeon in Noida, suggests that the treatment should be planned after analyzing the patient’s symptoms, physical examination, and MRI. Doctors recommend surgery only when the patient’s symptoms and test results support it. Benefits Of Microdiscectomy Because the surgeon makes only a small incision and limits disruption to nearby muscles and tissues, many patients recover sooner than after traditional open back surgery. Microdiscectomy may also cause less post-operative discomfort. As a result, many patients can leave the hospital sooner and gradually return to their daily activities. If your sciatica does not improve with conservative treatments, talk to a spine surgeon about whether this procedure is suitable for you. Recovery Following Microdiscectomy Most patients can gradually resume normal activities after surgery. How soon you can do this will depend on your symptoms and overall health. Your spine surgeon may advise you to engage in mild activity such as walking as well as take certain precautions as you recover.

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Endoscopic Spine Surgery for Sciatica & Slip Disc

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A slipped disc, also called a herniated or prolapsed disc, occurs when a damaged disc presses against one or more spinal nerves. This leads to the most common symptom of severely, aching back, leg pain, or numbness, tingling, and weakness in one of the legs. If this is the sciatic nerve, then this condition is widely known as sciatica. Most people recover well with medicines, physiotherapy, exercise, and other conservative treatments. However, severe nerve compression may require surgery in some cases. Endoscopic spine surgery for sciatica can help selected patients who experience persistent leg pain, numbness, or weakness caused by nerve compression. What Is Endoscopic Spine Surgery? Endoscopic spine surgery uses a minimally invasive approach to treat several spine conditions, including some slipped discs and cases of sciatica. Through a small incision, the surgeon uses an endoscope to remove the part of the prolapsed disc that presses on the spinal nerves. Benefits Of Endoscopic Spine Surgery Are: Endoscopic spine surgery can offer several benefits to carefully selected patients, including: Please remember that endoscopic spine surgery does not suit every patient. A board-certified spine surgeon can recommend the appropriate procedure after a clinical examination and spine MRI. It is better to meet up with your spinal surgeon, whether endoscopic surgery is the correct way to go with you or not. When Is Surgery Necessary for Slip Disc & Sciatica? Doctors usually consider surgery when a herniated or slipped disc does not improve with conservative treatment such as drugs or physical therapy where the patients present with symptoms such as leg pain, numbness, weakness or any nerve compression such as sciatica. If your spine surgeon considers surgery necessary, they will review your MRI, medical history, and neurological examination.Your surgeon may recommend slipped disc surgery when the procedure has a strong chance of providing significant relief. Consult An Experienced Spine Surgeon Dr Pramod Saini – Endoscopic & Minimally invasive spine surgeon offers his expertise for slipped disc, sciatica and other spine conditions. He recommends non-surgical treatment for slipped discs, sciatica, and other spine conditions whenever appropriate. When conservative treatment does not provide enough relief, he may recommend endoscopic spine surgery. So, if you are unable to tolerate that chronic back & leg pain from slipped disc or sciatica then it’s time to visit a competent & specialized spine surgeon in Noida.

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Endoscopic Spine Surgery for Slip Disc

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A slip disc, also known as a herniated disc, can cause severe back pain, sciatica, numbness, or weakness in the legs. Traditional spine surgeries often involve long recovery times, but with medical advancements, Endoscopic Spine Surgery has emerged as a safer and faster alternative. Endoscopic Discectomy is the latest and most advanced technique for treating slip disc problems. In this minimally invasive procedure, surgeons remove the herniated disc fragment through a small 8 mm cut. This allows decompression of the affected nerve without major disruption to surrounding tissues. The result is effective pain relief with minimal blood loss and fewer complications compared to conventional surgeries. One of the biggest advantages of endoscopic spine surgery is the rapid recovery. Patients are able to walk on the same day of surgery and are usually discharged the very next day. Unlike traditional spine procedures, endoscopic discectomy allows patients to return to normal life and work within a month, making it the preferred choice for those seeking faster rehabilitation. With highly skilled specialists like Dr. Pramod Saini, patients in Delhi can access advanced treatment for slip disc, sciatica, and related spinal problems. Endoscopic spine surgery not only provides excellent outcomes but also ensures that patients experience the earliest return to work among all spine surgeries. If you are struggling with persistent back pain, leg pain, or symptoms of slip disc, consult a spine surgery expert today. With modern techniques like endoscopic discectomy, you can enjoy a pain-free, active lifestyle in just a few weeks.

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