Tubular spinal micro decompression surgery with integrated 2D camera visualization: initial experience and feasibility in Tanzania

The integration of a tubular-mounted digital camera visualization system is a feasible adjunct for Minimally Invasive Spine Surgery (MISS) in Tanzania, offering distinct advantages in ergonomics, training, and cost-effectiveness compared with operative microscopy. Although the initial learning curve was associated with a higher incidence of durotomy, outcomes improved with experience.