Endoscopic decompression is a minimally invasive surgery that utilizes an endoscopic camera and micro-instruments to access the spine through a very small incision (less than one inch). This surgery is utilizing the endoscope and real time imaging so the surgery is very safe and effective This allows the doctor to better visualize the disc and nerves of the operational site. The endoscopic surgery is a micro- invasive latest technique done in treating nerve compression usually caused by narrowing of the spine column(stenosis), bone spurs, bulging discs, herniated discs, and facet arthritis. Under x-ray guidance, a series of muscle dilators are used to stretch soft tissue, instead of cutting muscles, and create a path for the endoscope. Special instruments can also be used to shave down arthritic bone that compressed the nerves in spinal canal. The goal is to free up the nerves in the spinal canal. Unlike traditional open surgery, in which muscles, ligaments, and even and bones might be severed to reach the specified area; endoscopic microdiscectomy uses an endoscope, or small camera, to magnify the area where the microdiscectomy will be performed. Through the use of this technique, only a small portion of the herniated disc that is compressing the
spinal nerve needs to be removed.

Indications-
 Spinal stenosis- narrowing of the spinal canal
 Bulging disc, herniated discs, facet arthritis, bone spur, scoliosis, and spondylolisthesis resulting in stenosis or narrowing of the spinal canal
 Severe back pain, leg pain, or neurological symptoms.
 Failure of conservative treatments.