Minimally invasive techniques for the treatment of herniated lumbar discs

DISC FX minimally invasive system is developed and manufactured by Elliquence, it is a “4-in-1” minimally invasive lumbar disc treatment system (clamping, flushing, nucleus pulposus ablation, and annulus fibrosus thermoplastic molding), which is based on the principle of intervertebral foramenoscopy and developed into a new percutaneous minimally invasive discectomy device. It is a new type of percutaneous minimally invasive discectomy device based on the working principle of intervertebral foramenoscopy, which was firstly introduced by the Pain Department of Qingdao Hospital in 2010 in Shandong Province. DISC FX system adopts posterior lateral percutaneous minimally invasive puncture approach, adopts tiny working tube (3mm inner diameter), extremely convenient operation system, and is used to treat inclusive lumbar disc herniation patients with radicular pain. So far, we have performed more than 50 cases of percutaneous nucleus pulposus clamping with the DISC FX system, and most of the patients have achieved excellent therapeutic results. Characterized by small trauma, quick results, short postoperative recovery period, and stable therapeutic effect, it has been proved that the development of minimally invasive lumbar disc herniation treatment by DISC FX system treatment is a great progress in the treatment technology and has a good application prospect. Through the analysis of the surgical process, safety and clinical efficacy and the experience of peers, we found that the DISC FX system has the following advantages: 1, because of the use of posterior lateral approach, so ① do not need to directly contact, pull the dura mater and the nerve root, to avoid intraoperative damage to the dura mater, the nerve root, as well as postoperative dura mater and the occurrence of peri-nervous scarring, ② protection of the epidural and the peripheral nerve venous system can prevent venous stagnation and chronic neurological hydrotherapy. (ii) It protects the epidural and perineural venous system, which can prevent venous stagnation and chronic neural edema, (iii) For inclusive disc herniation, intradiscal decompression surgery can protect the integrity of the posterior annulus fibrosus and the posterior longitudinal ligament, thus reducing the chances of recurrence of disc herniation after surgery. 2. The tiny working cannula minimizes the damage to the paravertebral muscles and loss of innervation. 3.Surgical trauma is small, the incision is only about 3mm, basically no suture, reducing the chance of wound infection. Because of the small trauma, it does not move the small joints and bony tissues of the vertebral plate, which reduces the possibility of postoperative segmental lumbar instability and slipping. 4, postoperative pain is light, quick recovery. DISC FX system surgical cases, due to the small trauma, most of the postoperative analgesia is not required. You can get out of bed in 2-3 days after surgery. 5, short postoperative hospitalization: the average postoperative hospitalization time of DISC FX system surgical group cases is 3-5 days, which reduces the hospitalization cost of patients. In summary, for intervertebral disc herniation with radicular symptoms, the DISC FX system has excellent clinical efficacy and safety, and has a broad application prospect. The following are some of the photos and imaging data during the treatment process: Lumbar disc herniation DISC FX treatment – clamping Lumbar disc herniation DISC FX treatment – radiofrequency ablation and fibrous annular molding Nucleus pulposus tissue stained with methylene blue from clamping Imaging data during the treatment process.