I believe that many people are not clear about the operation method and treatment principle of perforaminal endoscopic surgery, so everyone should learn more about related medical technologies. It is recommended that everyone have a certain understanding of perforaminal endoscopic surgery. Intervertebral space surgery is mainly used to clear the pressure on the nerve roots caused by lumbar spondylosis or bone marrow hyperplasia. It is very good for relieving nerve compression and bone hyperplasia, and can alleviate damage to the lumbar nerves. 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 transforaminal or endoscopic microdiscectomy are not fundamentally 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. If the patient has lower back pain symptoms greater than leg pain and has a moderate or lower bulge, low-temperature plasma nucleoplasty can be performed first; 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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