Patient: the first onset was in March 2003, by ct examination L5-S1 protruded 8mm, and accompanied by compression of the two legs nerve, June 4, 2009 again ct examination protruded 4mm, L5-S1 appeared to be a vacuum degeneration, now the symptoms are lumbar pain 24 hours, legs sometimes numbness, sometimes feel a meridian leading to pain! Indexing, massage, taking Chinese medicine I would like to inquire whether the PLDD laser minimally invasive surgery jointly carried out by your hospital and Wuhan Huangpu Hospital of Chinese and Western Medicine has any effect and whether it is applicable to me? Ren Shousong, Department of Spine Surgery, Jimo People’s Hospital: PLDD surgery cannot be used in your case. It is suitable for open discectomy or discoscopic surgery. You may be wrong about the hospital where I work, our hospital is in Qingdao, Shandong Province. Patient: Thank you for your reply, Professor. May I ask which of the two surgical methods you mentioned is more effective and less negative, which is more convenient for future treatment (I am worried about recurrence), and which hospital is more authoritative in my region (I am closer to Wuhan)? I’d be grateful if you could give me some advice! Ren Shousong, Department of Spine Surgery, Jimo People’s Hospital: Intervertebral discoscopic surgery is better, less damage, incision within 2 cm, can get out of bed the next day of surgery, fast recovery. Wuhan area discoscopy surgery is not very clear. Wuhan orthopedics better hospitals, Concordia Tongji two are good. Patient: Thank you for your warm reply, really thank you, this night did not sleep, take care of your body ah ~! To say a few words, I still have the fear of doing surgery, mainly worried about the surgery injury to the nerves, when which time is not just now the problem of back pain, a saying called “better dead than alive” in my case really want to surgery? What are the chances of successfully relieving my back pain? What will happen if I don’t have surgery? What are the consequences? Is discoscopic surgery what you call minimally invasive surgery? I would be grateful if you could advise me on this! Thank you very much! Ren Shousong, Department of Spine Surgery, Jimo People’s Hospital: “Do I really need surgery in my case? What are the chances of successfully relieving my back pain? If I don’t have surgery, what direction will it go? What are the consequences?” Please understand that these questions are difficult to answer without my seeing you. The goal of discoscopic surgery is exactly the same as open surgery in the traditional sense. With the exception of and its exceptions, almost all patients who are candidates for traditional open surgery are candidates for discoscopic surgery. Discoscopic surgery uses tiny incisions (less than 2 centimeters), tube dilatation, cold light illumination, and video magnification to completely avoid over-exfoliation of paraspinal muscles, over-removal of laminae, and over-destruction of spinal structures. It is a minimally invasive surgery in the true sense of the word. It is the most popular and trendy lumbar discectomy technique in the world. Laser, ozone, puncture cut suction and other so-called “minimally invasive” technology, the purpose is only decompression of the intervertebral disc, can not do decompression around the nerves and disc herniation of the resection, although the trauma is minimal, but can not be included in the scope of discectomy surgery, the indications are very narrow, and can not be compared with the discectoscopic surgery. Damage to nerves during surgery is called an “accident” and is not inherent in the technique itself. It’s the same thing: highways are not the root cause of traffic accidents. You don’t give up driving because of the possibility of traffic accidents. Nor would you refuse to fly on an airplane for fear of an air crash. To choose a hospital and doctor with more sophisticated technology, the easiest way to measure sophistication is to look at how many similar procedures he has already performed. Discoscopic techniques are more difficult to master, have a long learning curve, and are generally considered to require experience with 100 or more procedures to become proficient.