Endoscopic Spine Surgery


Meet the Doctor

Dr. Osman is recognized as the nation’s top surgeon for minimally invasive spine surgery. Dr.Osman has been featured on the Top Doctors Interviews which are seen on CNN Headline News, FOX News, Oprah Winfrey Network, CNBC and other networks. Dr. Osman is a true pioneer in endoscopic spine surgery.

Endoscopic Spine Surgery is a state-of-the-art surgery that uses a small tubular system or micro-incisions, assisted with an endoscope for visualization. This type of Minimally-Invasive Spine Surgery (MISS) provides patients with quicker recovery and less pain than traditional spine surgery. Endoscopic Spine Surgery preserves normal spine mobility because the spine is not fused with screws and rods. With experienced hands, most of the procedures take less than one hour and the patient gets back to walk around in only a few hours.

Dr. Osman’s Endoscopic Spine Surgery is a true minimally invasive procedure that has revolutionized the treatment of back and neck pain. If you’re searching for long-lasting pain relief, we can help.


What are the advantages of this type of procedure?

Advantages of minimally invasive spine surgery include the following:

  • Minimal incision
  • No removal of muscle or bone
  • Minimal or no blood loss
  • Very early recovery
  • Early return to productive activities
  • Reduced need for pain meds
  • Preservation of spinal mobility
  • May be performed under mild sedation and local anesthesia
  • Outpatient surgery
  • High success rates
  • Improved quality of life

The Osman Approach

The Osman Approach is quite simple: conduct spine surgery in the LEAST INVASIVE manner possible! It was in 1993 that Dr. Osman began working on his approaches, and they have since evolved, starting in 1994 with the publication of his cadaver study – Posterolateral Arthroscopic Discectomies of the Thoracic and Lumbar Spine. This was followed by the first endoscopic thoracic discectomy and fusion, as an outpatient procedure in 1995 – the patient, a radiologist from Hawaii, gave a live television interview on Channel 3 News, on the 4th day after his surgery, fully dressed in his suit, and while walking in his hotel lobby! Since then, Dr. Osman has continually developed new endoscopic spine techniques over the years (see below). As time goes on, the approaches get more advanced through small incisions and less invasive routes. By using an endoscopically-assisted approach, Dr. Osman is able to treat spine patients’ conditions in ways that not too long ago were never thought to be possible. As a global thought leader in this discipline, Dr. Osman is constantly pioneering unique techniques and ways in which to make spine patients’ lives better.

Check out Dr. Osman’s Video’s That Support The Osman Approach:

Dr. Osman has been using this approach for 21 years now with much, much less post-operative complications seen following other more invasive approaches. The video shows the first ever endoscopic lumbar foraminoplasty, performed through unilateral, bi-portal approach, using multiple tools, including automated shavers to remove soft tissue, automated burs to remove bone encroaching on the foraminal canal, curettes, probes and other ancillary tools. The patient in this video was a 72-year-old retired surgeon who had fallen off the roof of his garage while shoveling snow, 12 months prior to his surgery! Both videos are the first ever unilateral, bi-portal endoscopies of the thoracic and lumbar spine in the world!


Types of Endoscopic Spine Surgery We Perform

Endoscopic Discectomy is a common type of endoscopic spinal surgery, is the least invasive surgical procedure used to remove herniated disc material that is causing pain in the lower back and legs (lumbar), mid back (thoracic), or neck and arms (cervical).

Endoscopic Foraminotomy is the least invasive spine surgery used to relieve pressure to spinal nerve roots, caused by compression from bone spurs, disc herniations, scar tissue, or excessive ligaments.

Endoscopic Facet Rhizotomy can effectively treat back pain, spasms, and provide chronic back pain relief. This procedure is the least invasive spine surgery used to deaden affected facet joint nerves causing chronic back and neck pain.


Endoscopic Lumbar interlaminar discectomy/decompression is the least invasive spine procedure that offers the least traumatic alternative to a traditional or open laminectomy. It is the least invasive surgery for effective treatment of central spinal stenosis.

Endoscopic trans-iliac discectomy of the lowest lumbar disc (L5-S1), as a least invasive alternative to surgery through the spinal canal. Endoscopically-assisted trans-iliac decompression and fusion is the least traumatic technique.

Endoscopically-assisted decompression and fusion of lumbar, thoracic and cervical spine, as outpatient procedures. Associated with least trauma to spinal muscles and bones, least amount of blood loss and early recovery.



  • Bursitis
  • Cauda Equina Syndrome
  • Degenerative Disc Disease (DDD)
  • Disc Bulge
  • Disc Collapse
  • Disc Herniation
  • Disc Pain
  • Facet Disease
  • Failed Back Surgery Syndrome
  • Foraminal Stenosis
  • Fracture (Traumatic)
  • Fracture (Senile Osteoporotic Compression
  • Kyphosis
  • Low Back Pain
  • Lumbar Radiculopathy (With Leg Pain)
  • Pinched Nerve(s)
  • Sacroiliac Joint (SI) Joint Dysfunction:
  • Sciatica
  • Scoliosis
  • Spinal Cord Compression:
  • Spinal Infection
  • Spondylolisthesis
  • Spondylosis (Arthritis)
  • Sprain (Spine)
  • Stenosis (Canal Narrowing)
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