March 12, 2025 Author : Ricardo Frada Biportal endoscopic spine surgery is an advanced minimally invasive technique that has revolutionized the treatment of several spinal pathologies. This innovative approach, which uses two ports for viewing and direct access to the spinal canal and associated structures , can be used in complex spinal disorders with reduced morbidity. Objectives and advantages of biportal endoscopic spine surgery Biportal endoscopic spine surgery effectively addresses spine pathologies while minimizing surgical trauma. Therefore, the patient outcomes are more favorable compared to those of conventional spine surgery. Minimally invasive access By using small incisions, this technique reduces muscle dissection and soft tissue damage, which is associated with faster recovery and less postoperative pain. Direct visualization The two-port technique allows high definition visualization of the vertebral and neurological structures, making it possible to perform complex surgical procedures with high precision and safety. Low complications rate One of the main objectives of biportal endoscopy is to minimize the potential complications associated with open surgical techniques, including infections, hematomas and nerve injuries, which are related to more invasive procedures. Less post-operative pain With tiny incisions and minimal muscle damage, patients report lower levels of post-operative pain, thus requiring less medication for pain control at this stage. Faster recovery Patients undergoing biportal endoscopy generally require a shorter hospital stay and return to daily activities more quickly due to the minimally invasive nature of the procedure. Improved patient outcomes By achieving effective spinal decompression and stabilization with less trauma, biportal endoscopy increases overall patient satisfaction and quality of life. Applications of biportal endoscopy Biportal endoscopy can be used in different spinal pathologies, from disc herniation surgeries to more complex decompression interventions with the possibility of association with spinal fixation, allowing a wide range of treatment possibilities. It is particularly effective in the following spinal pathologies : Lumbar disc herniation : allows effective removal of the herniated disc, while preserving healthy tissue and adjacent anatomical structures; Lumbar canal stenosis : Facilitates the decompression of stenotic areas in the spinal canal and foramina, relieving pressure on nerve roots and improving symptoms; Cervical disc herniation : minimally invasive access through biportal endoscopy allows, in selected cases, the removal of cervical disc herniation and/or decompression of foramens; Adjunct in fusion procedures : can be used with other spinal fusion surgeries to optimize results and minimize trauma; Revision surgeries : In selected cases of patients who have undergone spine surgery, biportal endoscopy may offer a less invasive option for revision procedures, thus reducing the risks associated with reoperations. In short Biportal endoscopic spine surgery represents a significant advance in spine surgery , with the known benefits of minimally invasive procedures for patients. With its numerous advantages and specific applications, it is transforming the treatment of various spinal pathologies , becoming an essential tool in modern orthopedic and neurosurgical practice. The continuous evolution of this technique promises further improvements in results and expands its applicability, with obvious benefits for patients. Meet the orthopedics clinial team from Hospital da Luz network. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
