Minimally invasive treatment of lumbar synostosis
The intervertebral disc is organized like a flattened egg, with the fibrous ring like a protein and the central nucleus pulposus like an egg yolk. The fibrous ring is usually composed of type I collagen, which is heat-sensitive and can stretch under external tension. At about 60ºC, the hydrogen bonds of collagen begin to mutate.
Temperature-controlled thermal disc repair is performed by inserting a hollow puncture needle into the disc under the guidance of CT and C-arm fluoroscopy, and then inserting a catheter through the puncture needle into the disc with a heating coil at the head of the catheter. The catheter has a heating coil at its head and is clearly located in the disc under CT and “C” fluoroscopic surveillance.
In layman’s terms, it is somewhat like a hot glue patch for car tires.
It is suitable for young people with discogenic back pain.
The mechanism of “IDET” and “Tong’s Non-invasive Interventional Therapy” is completely different from other interventional treatment mechanisms.
The mechanism of “IDET” and “Tong’s non-invasive interventional therapy” is to repair the ruptured annulus intervertebralis to achieve healing, while other interventional treatments are to remove or dissolve the nucleus pulposus from the disc and to achieve healing by decompression. The other interventions are to remove or dissolve the nucleus pulposus from the disc and decompress it to achieve a cure. To make it easier to understand, let’s use an analogy: do you choose to deflate an air leaking tire with a crack in it? Or do you choose to patch the tire? A herniated disc is like a leaky tire with plenty of air and cracks.
The advantage of IDET?
It is minimally invasive and does not destroy the disc. Long-term results are relatively good.
How safe is IDET?
Since IDET is performed under the surveillance of CT and “C” fluoroscopic stereoscopic positioning, it is very safe and none of our patients have had complications so far.
Patients with low back pain and lower extremity radiating pain due to herniated or bulging discs. 2. Patients aged 16-50 years old.
Which patients are not suitable for IDET?
1. Severe disc herniation with free;
2. Slipped vertebrae;
3. Spinal stenosis;
4.Stenosis of the spinal space;
5.Recurrence after surgery;
6.Recurrence after minimally invasive surgery: intervertebral disc excision and aspiration, laser disc vaporization, collagenase myelolysis, etc.