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Endoscopic microdiscectomy: Endoscopic microdiscectomy is a minimally invasive surgery to remove a herniated disc from the spine; a tiny video camera and surgical instruments are inserted through several small incisions in the back.
Cervical artificial disc replacement surgery is a joint replacement procedure that involves inserting an artificial disc, between the vertebrae to replace a natural spinal disc after it has been removed. This prosthetic device is designed to mimic the function of a natural disc, preserving mobility within the disc space and throughout the treated vertebral segment.
Cervical artificial disc surgery is a type of joint replacement procedure, or arthroplasty, that involves inserting a cervical artificial disc into the intervertebral space after a natural cervical disc has been removed.
A cervical artificial disc replacement is a prosthetic device designed to mimic the function of a natural cervical disc, preserving mobility within the disc space and throughout the treated vertebral segment. A cervical artificial disc essentially functions like a joint, replicating the physiological motion (flexion, extension, side bending and rotation) and alignment (height and curvature) of a natural cervical disc.
Endoscopic discectomy
In this technique an endoscope is used to visualize the nerve root and the prolapsed disc material. Through a small incision a working insert, containing the endoscope is introduced at the affected disc level.
HOPKINS II telescope 0 degree
The surgical field (ie. bone, nerve root and the disc material) is visualized on television screen The working insert also contains a nerve root retractor and a channel for the micro instruments to enter and reach the disc material. The prolapsed disc materials are removed through a 8mm small channel
Disc materials removal
The whole surgical procedure is performed by the surgeon looking at the television screen. Endoscopic micro discectomy claims to have produced less muscle dissection. Both these procedures (MLD and MED) are minimally invasive spine surgeries
The advantages of these procedures are : -
Early ambulation - patients getup and walk on the same day of the surgery.
Less hospital stay
Cosmetically acceptable - ideal for young patients
Less morbidity, ie. less post operative back muscle pain.
Handling of the neural tissues are gentle and precise due to excellent illumination and magnification.
Hooks on adjacent spine
In lumbar foraminotomy for excision of extreme lateral disc prolapse, a 20mm incision over the selected spinous process is made and the paraspinal muscles are separated to expose the lateral edge of pars and facets.
A 55mm long / 15mm Dr.Parthiban's double hook retractor is selected and the hooks are applied over the sides of the adjacent spinous process. The paraspinal muscles is now retracted against the spinous process using the flat blade, until the lateral edge of the pars is visualized. In both these procedures the paraspinal muscles are retracted effectively against the bone (spinous process) by the Dr.Parthiban's double hooks. The blades are always even and need no replacement during the procedure. All conventional micro discectomy instruments can be used without technical difficulties.
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The whole surgical procedure is performed by the surgeon looking at the television screen. Endoscopic micro discectomy claims to have produced less muscle dissection. Both these procedures (MLD and MED) are minimally invasive spine surgeries 
