Kauvery Hospital Alwarpet has advanced its spine care programme with the successful introduction of endoscopic fusion surgery, described as a first-of-its-kind procedure in Chennai. 

The technique offers a minimally invasive option for selected patients requiring spinal fusion, with the aim of reducing tissue disruption compared with traditional open surgery and standard minimally invasive surgery (MIS).

Endoscopic fusion is performed through a working channel and high-definition camera inserted through an incision of approximately 8 mm. 

The surgeon decompresses affected nerves, prepares the disc space and places an interbody implant with fixation under continuous visualisation, while seeking to preserve surrounding muscle, bone and ligaments.

Traditional open spine surgery generally involves larger incisions and extensive muscle dissection, while standard MIS may require an incision of around 20 mm and some tissue handling. The endoscopic approach is designed to reduce tissue damage, blood loss and postoperative pain, potentially enabling earlier mobilisation and shorter hospital stays.

“Endoscopic procedures are also used for disc herniation and nerve compression.The technique is not suitable for all patients. High-grade slips, some complex deformities and cases that require wide open reconstruction may still need conventional surgery,” said Dr Keerthivasan P, Senior Consultant Spine and Orthopaedic Surgeon, Kauvery Hospital Alwarpet, Chennai.

Dr. Balamurali, Head of Department – Spine and Neurosurgery, Kauvery Hospital, Alwarpet, Chennai, said, “Endoscopic fusion is not just about smaller incisions, but about choosing the right approach for the right patient. With this technique, we are able to expand our treatment spectrum and offer personalized solutions, especially in complex and revision spine cases.”

Dr. Aravindan Selvaraj, Co-Founder and Executive Director, Kauvery Hospitals, said, “Our focus is to combine clinical expertise with advanced technology to deliver effective treatment while reducing the overall burden of surgery. The introduction of endoscopic fusion surgery reflects our commitment to offering less invasive options wherever appropriate.”