Minimally invasive spinal surgery: complete spinal endoscopic lumbar disc herniation

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In recent years, with the development of endoscopic imaging system and manufacturing technology, the visualization of spinal cord lesions by

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In recent years, with the development of endoscopic imaging system and manufacturing technology, the visualization of spinal cord lesions by endoscopic imaging system has led to a profound change in the treatment of cervical disc disease. The technique of complete spinal endoscopy is different from that of microscopy or discectomy (MED), which is the most minimally invasive surgery for the treatment of lumbar disc herniation. Because of the high technical requirements and steep learning curve, the hospital can not carry out the technology. The technique is known as "keyhole keyhole surgery" without damaging the back muscles and the spine structure. The wound is small, but everything is visual, microscopic vision magnification of 64 times, any structure is clear, operation to avoid nerve, bleeding a few milliliters of high safety, satisfactory curative effect can reach more than 95%.

Under the support of the leaders, the Department of orthopedics in our hospital in the west to carry out a wide range of micro endoscopic based on MED technology to vigorously carry out endoscopic intervertebral disc treatment technology, all the world's most advanced spine endoscope at present, this project includes the technology to carry out routine range: after enucleation, after resection of lumbar laminectomy lumbar disc herniation, transforaminal lumbar disc herniation, nerve root hole decompression, intervertebral foramen enlargement plasty, extraforaminal disc herniation resection, protrusion of intervertebral disc resection etc.;

Complete spinal endoscopic lumbar discectomy requires accurate preoperative localization, the incision size of 0.7cm direct lesions, and require the full protection of the nerve roots and cauda equina, which requires in preoperative patients with extremely precise analysis and measurement of lesions, surgical catheter trajectory and target position on the computer, make the operation before the focus will understand. In recent years, minimally invasive spine team and our hospital imaging center team, committed to preoperative imaging of patients with precise positioning of the lesion, intraoperative precision exposure and treatment. This technique is based on three dimensional high resolution nerve root nuclear magnetic resonance reconstruction technology: 2D water fat shunt IDEAL sequence nerve root coronal reconstruction, 3D high resolution T1 nerve root and nucleus pulposus imaging technology. The combination of high precision image analysis and advanced endoscopic imaging system, together with the mastery of minimally invasive operation concept and skilled endoscopic operation, are four important factors in the development of this technology.

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