Article source: Guangming.com – Guangming Daily Wu Hao, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University In a book on spinal surgery written by many famous experts in orthopedics, the current situation of spinal surgery in China is described in this way: In some countries in Europe and the United States, many neurosurgeons are engaged in the treatment of cervical spondylosis, lumbar intervertebral discs and other degenerative diseases of the spine, making microsurgery techniques widely used in spinal surgery; while in China, the The treatment of spinal surgical diseases is basically undertaken by orthopedic surgeons and is based on conventional open surgery, so the application of microsurgery techniques in the field of spinal surgery is limited. In another book translated by a famous domestic orthopedic specialist, it is pointed out that microsurgical techniques are the standard surgical modality for the treatment of cervical spondylosis, lumbar disc herniation, and other diseases. In the surgical treatment of spinal disorders, orthopedics and neurosurgery are like two horse-drawn carriages, driving side by side, one without the other. Neurosurgery, from the perspective of the anatomy, physiology and pathology of the spinal nerves, uses microsurgical techniques that can release the compression of the spinal cord and nerves more safely and completely with less surgical trauma and restore their functions. With the support of Professor Ling Fengfeng, Dr. Fengzeng Kan, who returned to China in 2004, established a spinal neurosurgery specialty at Xuanwu Hospital of Capital Medical University and has been dedicated to promoting the development of spinal microsurgery techniques in China and encouraging more neurosurgeons to participate in the field of spinal surgery in order to achieve a balance between bone and nerve and to provide comprehensive relief for patients with spinal pain. In recent years, the specialty of spinal neurosurgery has continued to develop and innovate, and already has a number of international and domestic leading technologies, which have been highly appreciated by the president of the World Federation of Neurosurgery and Professor Samii from Germany. Patients with lumbar disc herniation can suffer from narrowing of the lumbar spinal canal due to the compression of the traveling nerves in the lumbar spinal canal by bone and ligamentous hyperplasia, and patients often experience intermittent claudication symptoms. The usual treatment is to remove the posterior spinal lamina and open up the spinal canal to relieve the nerve compression. Because of the effect of the surgery itself on the stability of the spine, the spine needs to be fixed using metal screws 6 mm in diameter and 4-5 mm long after decompression. Director Sugan then used microsurgical techniques to perform bilateral decompression of the spinal canal through one side of the surgery, which means that a small surgical incision is made to enlarge the normal laminae space and use the microscope to directly remove the enlarged bone spurs and thickened ligaments, achieving the same decompression effect on the nerve tissue as open surgery. Because the surgery is less invasive, it has minimal impact on the stability of the spine and does not require screw fixation. The patient was able to get out of bed on his own the day after surgery. At present, more than a hundred patients with lumbar spinal canal have benefited from this technique in the neurosurgery department of Xuanwu Hospital, and more than 90% of them have recovered satisfactorily from their symptoms. Director Fengzeng Kan was also the first to publish this technique in a domestic academic journal. Since the establishment of the spinal neurosurgery specialty at Xuanwu Hospital of Capital Medical University, the specialty has developed rapidly from scratch under the leadership of Director Fengzeng Sugan. The number of difficult patients from all over China treated by surgery each year has increased by 50%, and Director Fengzeng Sugan has been invited to Korea, Japan, Taiwan, and Italy for many lectures and exchanges. After several years of training, the spinal neurosurgery department now has five doctors, all of whom are MDs or PhDs in progress. At the same time, the annual spinal microsurgery study courses have greatly promoted the application of microsurgery techniques in the spine field in China and have trained a large number of domestic talents. Many large hospitals in China, especially teaching hospitals, have a specialty in spinal neurosurgery, laying a good foundation for providing comprehensive and satisfactory treatment for patients with spinal disorders in China.