MaxMoreSpine is a globally recognized brand specializing in advanced minimally invasive spine surgery solutions, developed by Hoogland Spine Products. Founded in 2006 by Dr. Thomas Hoogland—one of the pioneers of endoscopic spine surgery—the company is based in Munich, Germany, and focuses on the design and manufacture of innovative, high-precision surgical instruments and systems for endoscopic spinal procedures.
At the heart of MaxMoreSpine’s portfolio is the MaxMore® System, a comprehensive solution for performing transforaminal, interlaminar, and biportal endoscopic discectomy and decompression procedures. Among its most notable products are the MaxDisc® System, PTED (Percutaneous Transforaminal Endoscopic Discectomy), PSLD (Posterior Sub-Laminar Decompression), Biportal Endoscopic System, and the Joint Ablation System. These tools are engineered to address common spinal pathologies such as herniated discs, lumbar spinal stenosis, and facet joint degeneration.
One of MaxMoreSpine’s flagship innovations, the MaxDisc® System, uses a 2.1 mm working channel endoscope designed for percutaneous intradiscal procedures. It enables surgeons to perform discectomy, nucleus ablation, and annular sealing with high precision and minimal trauma. These procedures are often performed in outpatient settings and are associated with reduced hospital stays, faster patient recovery, and fewer complications compared to traditional open surgery.
What distinguishes MaxMoreSpine is not only the quality of its German-manufactured, CE- and FDA-cleared instruments, but also its emphasis on surgeon education and patient safety. The company actively supports international workshops, hands-on cadaver labs, and continuous medical education programs. Their instruments are designed with safety-enhancing features—such as blunt trephines for foraminoplasty—to protect nerve structures and ensure reproducible outcomes even in complex anatomical areas like L5-S1.
Biportal Endoscopic Spine System, BESS, comes out to be one of new trends of treatment of degenerative spine disorders. Literally it has a deeper origin from bilaterally (bilateral approach, one(left) side for scoping and the other(right side) for working) biportal arthroscopic approach by Dr. Schubert and Hoogland1), 2005. Several years later, it was released again with new shape using an arthroscopic system with a shaver technique using unilaterally (same sided approach, proximal one for scoping and distal one for working) biportal endoscopic surgery by Dr. Soliman, 2015. Recently this technique has been rapidly developed with its unique hybrid concept of microscopic approach and endoscopic techniques with arthroscopic facilities. It recently came to broaden its surgical indications from discectomy via decompression to endoscopy-assisted fusion. Dr. Choi is leading the ongoing development of this system in close cooperation with MaxMoreSpine.
- MaxMoreSpine-Endoscopy-Brochure.-MaxMore.pdf
- MaxMoreSpine Endoscopy 2024 VIDEO
- MaxMoreSpine Endoscopy Transforaminal Access VIDEO ANIMATION
It is standing on a natural proceeding way of development of ultimate MISS (minimally invasive spine surgery) with minimally invasiveness and preserving innocent structures to successfully eliminate pathology in surgically microscopic environment in helps of outstanding development of optic engineering. Consequently, it can give an alternative option to decompression-only rather than wider decompression and fusion to senile patients with medical commodities. And many patients could escape from another bigger revision surgery due to adjacent segment disease(ASD) with higher incidence, 9~30% within 5 years.
Advantages for BESS compared to open surgery
• BESS is simple and safe and mostly no need of bloodtransfusion, which means less tissue destructive and vital-stable surgery. So it can spread very fast in local private hospital with less amount of equipment. Its effectiveness and safety allows it to displace microscopic surgery for common degenerative spine disorders except tumor resection, high thoracic surgery and deformity correction.
Today, MaxMoreSpine has established a strong presence in Europe, Asia, and the Americas, and continues to expand globally through key partnerships—including recent collaborations with leading distributors in countries such as Spain (e.g., MBA Surgical Empowerment). Its mission remains clear: to provide surgeons with the tools, training, and technology necessary to perform safer, faster, and more effective spine surgeries, ultimately improving patient outcomes and surgical satisfaction.
Among its other products, MaxMoreSpine’s biportal endoscopy system stands out as an advanced solution for spinal decompression procedures:
About Hoogland Spine
Hoogland Spine Products was founded by orthopedic surgeon and inventor Doctor Thomas Hoogland in 2006 in Munich Germany. The late Doctor Hoogland had a vision to develop, educate and distribute instrumentation for targeted surgery to treat herniated discs, disc degeneration and facet joint pathology. Doctor Hoogland had performed over 15,000 minimally invasive spine procedures from which he incorporated his extensive expertise in the design of the maxmorespine® system and the philosophy of the procedure. The company is now owned by his son and CEO, Jaap Hoogland.https://max-more.com