Interventional treatment for lumbar synostosis

The mechanism of action of different interventions is classified. For each disease treatment method, there is its own concept and treatment mechanism, which originate from the knowledge of the disease. The same is true for lumbar dystrophy; human knowledge of lumbar dystrophy is only a few decades old. In 1908, a foreign scholar named Lochers first removed the intervertebral disc, and in 1932, Mr. Joseph S. Barr first suggested the possible causes of lumbar pain caused by herniated lumbar discs, and in 1946, a pioneer named Fang Xianzhi first carried out surgery for herniated lumbar discs in China. Interventional treatment for lumbar herniation has been carried out abroad for only twenty years and in China for only ten years. Most of the interventional treatments have not departed from the concept and mechanism of surgical treatment: that is, the herniated disc compresses the nerve, so the nucleus pulposus within the disc is removed in the treatment, also called disc decompression, to relieve and relieve the patient’s pain. With the development of science, medical science is also developing, and the methods and concepts of interventional treatment for lumbar herniation are constantly being innovated. According to the different action sites of various interventional treatment methods on the intervertebral disc, the mechanism of action of different interventional treatment methods can be divided into two categories: 1, action on the nucleus pulposus: ozone, collagenase, semiconductor laser, disc cutting, radiofrequency, low-temperature plasma 2, action on the annulus fibrosus: CT-guided drug Interventional therapy, temperature-controlled thermal therapy disc repair (IDET) Two different types of interventional treatment mechanism classification for intervertebral disc trauma, functional damage, prognosis has the essential difference: 1, the nucleus pulposus of interventional therapy (through gasification (ozone), chemical lysis enzymes, physical heating, removal of the nucleus pulposus dissolution, coagulation, vaporization), compared with surgery, these interventional treatment methods on the surface of the skin, muscle, bone damage is relatively low. However, the damage to the nucleus pulposus is the same, and if not done properly, the nucleus pulposus may be damaged to a greater extent than surgery, knowing that the nucleus pulposus has a function (see scientific article) 2. reduce and eliminate the patient’s pain. These two interventions do not destroy the disc and protect the function of the disc. In terms of mechanism of action, the first type of intervention follows the traditional treatment mechanism of many years, while the second type of intervention breaks the traditional treatment concept. To use an analogy from a layman’s point of view: the disc is like a tire, and now it is leaking, would you rather have it filled? Or deflate it?