In clinical work, many patients with low back pain are very fearful of stapling (internal fixation). This is true in most cases, and in some cases the opportunity for treatment is delayed. For example, the cauda equina nerve is damaged and open surgery is refused. As a result, the best time for treatment is delayed, and eventually the function of the diastasis cannot be restored and the quality of life is affected for the rest of your life. How to roughly determine whether it is possible not to play nail (do internal fixation)? 1, from the analysis of diagnostic results: see what the doctor said the diagnosis of your disease is? See what the report card says? If the doctor says you have a lumbar disc herniation and the report card also says it is a lumbar disc herniation, then most of you don’t need to have a nail. 2. Judging from your own symptoms: If you have frequent leg pain, especially radioactive leg pain, then you mainly have a herniated lumbar disc and in most cases you do not need to have a nail. 3.Analysis from your own age: If you are very young, most of you do not need to play nail. 4.Analysis from medical history: If your medical history is very short, just a few months, most of them don’t need nailing. 5.What kind of people need to be nailed? The opposite of the above questions, plus cauda equina injury, is a case that needs to be pinned. Future advances: spinal stenosis is mostly a condition that requires stapling. As technology advances, endoscopy can also address some of the conditions that used to require fusion surgery (stapling). It is expected that the advancement of minimally invasive technology will bring more benefits to patients.