Intervertebral foraminoscopy indications Simple disc herniation, bulging or prolapsed type with severe neurogenic symptoms; free type and combined with osteophytes, spinal stenosis; hypertrophy of the ligamentum flavum, stenosis of the lateral saphenous fossa and degeneration of the elderly that is not suitable for open surgery; discogenic lumbar and leg pain; cervical spine disease; artificial disc placement; advantages of intervertebral foraminoscopy technology 1, wide indications, can deal with almost all types of disc herniation; also It is also applicable to part of the spinal canal stenosis, intervertebral foraminal stenosis, calcification and other bony lesions; it can be extended to cervical spine endoscopic treatment of common cervical spine diseases such as disc herniation, osteophytes and hypertrophy of the ligamentum flavum; 2, small trauma, only 0.6 cm skin incision is needed, no destruction of the paravertebral muscles and ligaments, no need to bite off the vertebral plate, which does not affect the stability of the spine; it does not affect the remedial surgery after failure at all; 3, high safety, local anesthesia The operation can be completed under local anesthesia, which can interact with the patient without injuring the nerves and blood vessels, with minimal intraoperative bleeding and clear vision, greatly reducing the risk of misoperation; intervertebral foraminoscopy technology for herniated disc 4, can clearly observe the spinal canal and nerves, and the herniated nucleus pulposus can be removed under direct vision during the operation, and the effect is consistent with discectomy; in addition, it can prevent the occurrence of postoperative segmental instability and slippage. 5, postoperative care is simple, only oral antibiotics are needed, recovery time is short; 6, recovery is fast, the next day after surgery can be down to the ground activities, an average of 3-6 weeks to resume normal work and physical exercise; 7, the cost of surgery is low, no built-in materials, reduce the patient’s economic burden. The purpose of minimally invasive spinal technology (non-discoscopic) is to remove the pressure on nerve roots and eliminate pain caused by nerve compression by completely removing the protruding or prolapsing nucleus pulposus and hyperplastic bone outside the intervertebral foramen and intervertebral disc fiber ring. The procedure is performed through a minimally invasive spine surgery system consisting of a specially designed intervertebral foramoscope and corresponding minimally invasive spine surgery instruments, an imaging system, and a dual-frequency radiofrequency machine. While completely removing the herniated or prolapsed nucleus pulposus, it removes osteophytes, treats spinal stenosis, and can repair the broken annulus fibrosus using radiofrequency technology. The use of foraminotomy allows for precise surgery of the disc without touching healthy tissue. Minimally invasive laminectomy is performed outside of the annulus fibrosus, thus preserving the integrity of the annulus and maintaining the stability of the spine to the greatest extent possible, resulting in the least traumatic and most effective procedure of its kind for the patient. Minimally invasive foraminoscopic spine technology represents a new concept of minimally invasive spine surgery. It can perform herniated discs, foraminoplasty and fibular ring repair in all segments from the cervical spine to the lumbar 5 sacral 1. The satisfactory outcome of the surgery can reach 85% – 90%. Because of its many advantages, foraminotomy is now recognized as the dominant procedure in the field of international spine surgery, along with the well-developed arthroscopy. (Surgical simulation of foraminoscopy for lumbar disc herniation) Before lumbar disc herniation surgery Intraoperative removal of herniated disc