With advances in surgical techniques in recent years, orthopedic surgery has tended to become minimally invasive, with common access techniques, endoscopic techniques, and closure techniques in spine surgery. In addition, as surgeons’ technical proficiency progresses and patient demand increases, the indications for minimally invasive surgery have been relaxed compared to previous years. As a result, there has been a significant increase in the volume of minimally invasive procedures and the variety of surgical approaches. However, there are strict indications for any surgical procedure, especially for minimally invasive surgery, which has high requirements for both the operator and the patient, and should be strictly controlled.
Lumbar spondylolisthesis is often accompanied by isthmic fracture, with a long disease duration and serious intervertebral scar adhesions, and is often accompanied by abnormal nerve root position.
Lumbar disc prolapse refers to the nucleus pulposus of the intervertebral disc breaking through the restriction of the annulus fibrosus and prolapsing into the vertebral canal, which often adheres to the dura and is even wrapped by the dura because of the chemical substance in the nucleus pulposus. Although many masters” of foraminoscopic techniques have reported successful surgical cases, we recommend choosing minimally invasive surgery with caution.”