The spine is an important bone tissue for people. The structure of the spine is very complex. It is composed of a fixed number of individual vertebrae. It is a perfect combination in mechanics and can complete various movements with ease. However, if the negative pressure on the spine is too great, it can easily induce some diseases, such as intervertebral disc hyperplasia, spondylitis, etc. The following medical treatments for spinal diseases can be handled using perforaminal endoscopic technology. Let’s take a look at how minimally invasive perforaminal endoscopic treatment works. Treatment Principle The perforaminal endoscopic lumbar disc surgery completely removes the protruding or prolapsed nucleus pulposus and hyperplastic bone outside the intervertebral foramen safety triangle and the intervertebral disc annulus fibrosus to relieve the pressure on the nerve roots and eliminate the pain caused by nerve compression. The surgical method is a minimally invasive spinal surgery system composed of a specially designed perforaminal endoscopic lumbar disc surgery and corresponding supporting minimally invasive spinal surgical instruments, imaging and image processing systems. While completely removing the herniated or prolapsed nucleus pulposus, bone hyperplasia can be removed, spinal stenosis can be treated, and radiofrequency technology can be used to repair the damaged annulus fibrosus. Adapt to the crowd The selection criteria for spinal microdiscectomy under transforaminal or endoscopic lumbar discectomy are not essentially different from those for laminectomy and discectomy. Patients with herniated disc who choose minimally invasive surgery must present with signs and symptoms of nerve root compression and meet the following criteria: 1. Persistent or recurrent radicular pain; 2. Radicular pain is more severe than low back pain. Patients with moderate or lower bulges whose back pain symptoms are greater than leg pain can first undergo low-temperature plasma nucleoplasty; 3. Strict conservative treatment is ineffective. Conservative treatment is recommended for at least 4-6 weeks, including the use of steroidal or nonsteroidal anti-inflammatory analgesics, physical therapy, and occupational or conditioning programs, but if progressive neurological symptoms occur, immediate surgery is required; 4. No history of drug abuse or mental illness; 5. Straight leg raising test is positive, but bending is difficult; 6. In order to accurately determine the location and nature of the protruding or prolapsed nucleus pulposus, as well as the condition of intervertebral foraminal bone hyperplasia, a thorough imaging examination should be performed before surgery. CT and MRI, in particular, are important means to accurately determine the size, location and nature of the nucleus pulposus. |
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