Microsurgery and unilateral micro-approaches

Not necessarily. From the approach on one side it is possible to work underneath the midline structures and decompress the opposite side as well. The nerve is freed on both sides through a single point of entry, without detaching the muscles on the other side.

This is not fixation surgery. The aim is to remove whatever is compressing the nerve while preserving the structures that keep the segment stable, which is precisely why no screws are needed. If your case also involved underlying instability, that changes the indication and we would discuss it before deciding anything.

No, they are two different routes. In a micro-approach the work is done under the microscope through a small opening; in endoscopy a few-millimetre optic is passed through the natural exit hole of the nerve root. Each has its ground: the micro-approach also treats central and lateral recess stenosis and frees both sides from a single entry.

Properly indicated, this surgery allows patients to be up the same day or the following one, because the back muscles have not been stripped away. What happens afterwards depends on what is found inside and on the state of your spine beforehand, so I do not give fixed timescales: we agree them with your progress in front of us.