Patient: Male, 38 years old, four years ago, exertion and cold, lumbar pain once, could not get up, and then by the Chinese medicine orthopedic orthopedic 2~3 times just right. However, the last six months has been feeling lumbar pain, thought it was exertion, the first two months, after exertion and cold, and then began to hurt, this time it is different, there is a posterior spinal nerve compression and pain, involving the right leg belly soft, right leg numbness, lumbosacral and buttocks are also acid, occasionally there is the right side of the pubic region to the buttocks acid. I went to take a ct, and found that there was a herniated disc in the right posterior region between L4 and L5, and a herniated disc with intervertebral space stenosis between S1 and L5, and I have been taking massage for two months, twice a week. Herbal medicine for one and a half months, traction twice, laser and intermediate frequency physiotherapy five times, except for the pain in the acute phase, there is no major improvement. Now walking and sitting and standing, back and lower back are very tight. Outpatient and surgical counseling, surgery if needed. I would like to have surgery without nail fixation, will there be spinal instability if only the herniated nucleus pulposus is taken out? I was impressed to read xiaotuzi’s surgery story on the internet, that’s the type of surgery you did for her. Will the remaining fiber ring be able to handle the daily vibrations? Also, I’ve heard that minimally invasive proteolytic fusion and ozone fusion are better than traditional open surgery, do you do them? What are the disadvantages of this approach that prevent it from being generalized? Xue Airong, Intervertebral Disc Disease Medical Center, Affiliated Hospital of Henan Institute of Traditional Chinese Medicine: At present, there are many minimally invasive intervertebral disc treatments, such as collagenase dissolution, ozone, laser, radiofrequency, etc., which are very good, but the best one is decided according to the condition, the location and degree of herniation.