Approach
Biportal endoscopic (two ~7–10 mm incisions)
Duration
45 to 90 minutes
Hospital stay
Same-day or next-morning discharge
Overview
Uses two small portals — one for a high-definition endoscopic camera and one for surgical instruments — to remove a herniated disc fragment, bone spur, or thickened ligament that is compressing a spinal nerve.
Who it's for
Patients with sciatica, leg pain, or walking limitation from a lumbar disc herniation, spinal stenosis, or bone spurs that have not responded to non-surgical care.
Why patients choose this approach
- Two incisions, each only ~7–10 mm
- Muscles are gently dilated, not cut
- Many patients feel immediate leg pain relief on waking
- Recovery measured in weeks rather than months
Conditions treated
Lumbar Disc Herniation
A lumbar disc herniation occurs when a disc in the lower back pushes through its outer ring and presses on a spinal nerve, most often producing leg pain (sciatica), numbness, or weakness.
Sciatica
Sciatica is leg pain caused by irritation or compression of a lumbar nerve root, most often from a herniated disc or spinal stenosis. It is a symptom — not a diagnosis — and the underlying cause guides treatment.
Spinal Stenosis
Spinal stenosis is a narrowing of the spinal canal that compresses the spinal cord or nerve roots, producing leg pain, walking limitation, and — in cervical cases — hand and balance problems.
Cervical Radiculopathy
Cervical radiculopathy — a 'pinched nerve' in the neck — produces pain, numbness, or weakness that radiates from the neck into the shoulder, arm, or hand along the path of the affected nerve.
Cervical Disc Herniation
A cervical disc herniation occurs when a disc in the neck pushes through its outer ring and presses on a spinal nerve, producing neck pain plus radiating symptoms into the shoulder, arm, or hand.
This page is a general overview. Detailed surgical, recovery, and risk information is reviewed at your in-person consultation with Dr. Kazarian.