What each figure means
- 27,600+: all of the team’s endoscopic and spine operations. More than any team in Central Asia.
- Well below 1%: the share of complications across all of the team’s operations, in our own series. It is not a comparison with other clinics’ data and not a guarantee for any one patient.
- 0.1%: the share of complications after herniated disc operations, in our own series.
- 2%: the share of patients whose herniation came back within 3 years of the operation. A recurrent herniation can often be removed with the same 7 mm endoscopic method.
- Below 4%: the share of complications after stenosis operations. This is a more complex operation: patients are usually older, and the canal is often narrowed at several levels.
- 1–4 hours: most patients walk on their own within this time, including after neck and upper-back operations under general anaesthesia.
- 1–2 days: most patients go home within this time.
- Pain: in our experience almost all patients have less pain, and most become pain-free.
- Spinal anaesthesia: almost all endoscopic lower-back operations are done under spinal anaesthesia: you are awake and feel nothing below the waist. Without general anaesthesia there are fewer anaesthesia complications.
What the result depends on
- A 7 mm endoscopic incision. The tissue pressing on the nerve is removed under camera view; no large incision or wide muscle stripping is needed, which lowers the risk of infection, blood loss and muscle damage.
- Experience. In endoscopic surgery the result depends heavily on the surgeon’s hands and the number of operations behind them. The team performed Tashkent’s first endoscopic spine operation and has done the most ever since.
- Consilium. A complex case is reviewed by a consilium of the team’s four surgeons.
- Surgery only when it is needed. Most herniated discs shrink without surgery, and many cases of stenosis stay stable for years. In those cases we recommend watching and treatment, not an operation.
For a herniated disc and for stenosis
Herniated disc: the herniated fragment is removed through a 7 mm endoscopic incision, in the lower back usually under spinal anaesthesia. In our series complications have been 0.1%, and the herniation came back within 3 years in 2% of patients.
Spinal stenosis: the narrowed canal is widened through the same 7 mm endoscopic incision and, when the spine is stable, without screws. In our series complications have been below 4%.
Other surgeons learn from us
Since 2020, roughly 90% of Uzbekistan’s endoscopic spine surgeons have trained with our team. Surgeons from the USA, the UAE, India, Mongolia, Kazakhstan and Russia have also come to learn the endoscopic technique from us.
5 questions to ask any surgeon
- How many endoscopic spine operations have you performed?
- What is the complication rate in your own series?
- Will the operation be endoscopic through 7 mm, or open?
- Which anaesthesia: spinal or general?
- Do I need surgery at all, or can I wait?
We answer each of these questions with a number.