Dr. Rami Hamed Medical Blog

How do doctors decide between endoscopic and open spine surgery

Written by Dr. Rami Hamed | August 14, 2025

Hearing that you may need spine surgery can be an overwhelming moment. You may have questions like: Will it be a big operation? Will recovery be long? Is there a safer option? At DRHC Dubai, we understand these concerns. One of the most common decisions patients face is whether their condition is best treated with endoscopic spine surgery or open spine surgery.

While both approaches aim to relieve pain and improve function, the choice depends on several factors — from the exact problem in your spine to your overall health and lifestyle needs.

Understanding the Two Surgical Approaches

Endoscopic spine surgery is a minimally invasive procedure that uses a small camera (endoscope) and tiny instruments inserted through a small incision. This allows the surgeon to treat certain spinal problems with less disruption to muscles and tissues.

Open spine surgery, on the other hand, involves a larger incision to directly access the spine. This provides a wide view for more complex repairs, but usually involves a longer recovery period.

Factors Doctors Consider When Choosing the Right Approach

1. The Type and Location of the Spine Problem

  • Endoscopic surgery works best for targeted issues like herniated discs, spinal stenosis in specific spots, or nerve decompression.
  • Open surgery may be required for larger problems, such as severe spinal deformities, multiple disc issues, or conditions needing complex reconstruction.

2. Severity of the Condition

If the damage or compression is extensive, open surgery may allow for a more thorough repair. In milder, well-defined cases, endoscopic methods can often achieve the same results with less trauma.

3. Patient’s Overall Health

Patients with certain health risks may benefit from the shorter operation time, reduced blood loss, and quicker recovery of endoscopic surgery. However, safety always comes first — if open surgery offers a more stable, long-term solution, that may be the better choice.

4. Previous Spine Surgeries

Scar tissue from prior operations can affect which approach is safer and more effective.

5. Expected Recovery Goals

If returning to work or normal activities quickly is a priority, and your condition allows it, endoscopic surgery may be preferable.

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How DRHC Dubai Guides Patients Through the Decision

At Dr. Rami Hamed Center, every surgical plan is tailored to the patient. We use detailed imaging, thorough physical assessments, and clear discussions to ensure you understand the pros and cons of each approach. Our aim is to match the safest, most effective technique to your specific spine problem — without rushing you into a decision.

The Bottom Line

Choosing between endoscopic and open spine surgery isn’t about picking the “better” one in general — it’s about finding the right one for your condition, safety, and long-term comfort.

If you’re in Dubai and need guidance about spine surgery options, the specialists at DRHC Dubai can help you understand your diagnosis, explore your treatment choices, and plan the safest path to recovery.

Dr. Rami Hamed
Consultant Spine & Orthopedic Surgeon
Founder, DRHC – Dubai Healthcare City
📞 ‪+971 4 279 8800‬
🌐 www.drhc.ae
📍 Dubai Healthcare City, Building 52