Minimally invasive treatment of lumbar disc herniation

Lumbar disc herniation is a common disease, which used to be treated mainly by conservative treatment and surgery. In the late 1980s, the application of percutaneous puncture lumbar disc herniation aspiration was started, because it is less traumatic, only a needle eye, does not require bed rest, faster recovery, if the indications are appropriate, it can have good results, and more acceptable to the majority of patients. The patient lies prone or on his or her side on the surgical bed and is punctured with a trocar needle after sterilization and local anesthesia according to the preoperative CT and MRI determined disc herniation plane. After confirming the correct orientation of the needle under fluoroscopy, the puncture channel is gradually dilated and the trocar is delivered to the intervertebral disc. The annular saw is fed through this channel to cut the fibrous ring, and after exiting the annular saw, a suction rotary needle is fed and the nucleus pulposus is aspirated through negative pressure. With the advancement of medical technology, medical ozone emerged, and thus percutaneous puncture ozone ablation emerged in the field of lumbar disc herniation treatment, using the powerful oxidizing effect of ozone to denature and dehydrate the nucleus pulposus for the purpose of disc decompression. Our hospital integrated the advantages and disadvantages of the above two treatment methods and carried out percutaneous puncture nucleus pulposus aspiration ozone ablation, using the combination of the two methods to obtain a better decompression effect, making the effect of minimally invasive treatment more stable and effective. However, because the indications for minimally invasive treatment are limited, not all patients are suitable for this treatment, such as those with lumbar instability and severe lumbar spinal stenosis, and those with severe osteophytes of the articular eminence. In summary, minimally invasive treatment is an effective treatment for lumbar disc herniation, and patients are advised to choose it if they meet the indications for minimally invasive treatment.