What are the surgical methods for lumbar disc herniation? Common surgical procedures include: minimally invasive percutaneous percutaneous disc radiofrequency ablation, transdiscal microscopic disc removal, small incision disc removal, new dynamic stabilization techniques, laminectomy, intervertebral implant fusion internal fixation and disc replacement. Minimally invasive is the desire of patients and the pursuit of doctors’ treatment, but not every patient is suitable for minimally invasive, and different surgical methods are chosen for each patient’s condition. Our main feature is minimally invasive treatment, and we have become the most comprehensive department in East China (including Shanghai) in terms of minimally invasive treatment, completing more than 600 minimally invasive surgeries each year. The types of minimally invasive spine surgery we currently perform 1. Minimally invasive interventional techniques include: 1) radiofrequency/plasma/ozone/laser ablation of intervertebral discs; 2) discography; 3) small joint injection; 4) sacroiliac joint injection and other minimally invasive techniques. It is used to treat: 1) neck and shoulder pain caused by small joint lesions of the cervical spine; 2) low back pain caused by small joints and sacroiliac joints of the lumbar spine; 3) low back pain and neck and shoulder pain caused by disc lesions; 4) mild cervical and lumbar disc herniation. It is performed under local anesthesia with a small needle into a small joint or disc, followed by an ablation operation with imaging, radiofrequency, plasma, ozone or laser. These methods are relatively simple, low-risk and minimally invasive, and you can go home the same day after the operation. 2, minimally invasive treatment of spinal disorders: intervertebral foramoscopy technology Intervertebral foramoscopy technology uses local anesthesia, it is only 0, 7cm in size, only one stitch or even no stitch is needed after surgery, it is less damage to the stability of the spine, the patient can walk on the ground 2-6 hours after surgery and can be discharged on the same day. However, the operating technique of foraminoscopy is more demanding, and its indications are narrower than discoscopy, and the recurrence rate is relatively high. The indications for foraminoscopy vary depending on the experience of the surgeon, and it is suitable for the treatment of most patients with disc herniation. 3, minimally invasive treatment of spinal disorders: intervertebral discoscopy (MED) technology intervertebral discoscopy technology, namely MED, which is to cut an incision of about 2 cm in the lumbar back, and then insert a 1, 8 cm diameter endoscopic tube to the lesion site of the spine, with the light source and imaging equipment of the endoscope to operate on the lesion site. The intervertebral mirror technique can treat lumbar disc herniation, lumbar spinal stenosis, mild lumbar spondylolisthesis and lumbar instability, as well as cervical spine diseases, and it has a wide range of indications. Discoscopy is performed with semi-anesthesia, and the patient only needs about 2 stitches. The postoperative pain is very mild and the recovery is fast, and the patient is usually bedridden for 3-7 days after surgery and can return to work in about 3 weeks. 4.All kinds of ablation techniques assisted by discoscopy and/or foraminoscopy The herniated disc is first removed under discoscopy and foraminoscopy, and then various interventional techniques such as plasma nucleus pulposus ablation, ozone ablation, laser vaporization ablation are performed under discoscopy or foraminoscopy, and this endoscopic combined interventional technique is operated under direct vision, which has better treatment effect and broader indications and reduces the blindness of interventional techniques and improves safety. This combined endoscopic interventional technique is operated under direct vision, which has better treatment effect and wider indications, and reduces the blindness of interventional techniques and improves safety. 5. Minimally invasive treatment of spinal diseases: minimally invasive decompression and percutaneous internal fixation technique An incision of about 3 cm is made in the back to reset and decompress the slipped segment, and then four incisions of about 1 cm are made to insert four screws for fixation. Patients are under general anesthesia and can walk on the ground about 3 days after surgery, which is less traumatic, less stability destroying and faster recovery compared to conventional surgery.