Introduction to basic lumbar spine surgery

The surgery is performed under general anesthesia. In fact, there are many surgical procedures and the duration of the surgery varies depending on the patient’s condition, but most of them take about 1-3 hours. We always choose the most appropriate surgery for our patients – that is, the best surgery. The wound pain usually lasts about 3 days. Our surgical method is different from the traditional one in that you can sit up in bed and walk to the toilet the day after surgery, and thus, are not prone to complications such as dementia, pneumonia, and blood clots. Wound healing usually takes about 10 days, and since I perform an intradermal cosmetic suture, no stitch removal is required, and most can be discharged in 5-7 days. 1.Minimally invasive surgery: At present, minimally invasive surgery is very popular. We mainly carry out microscopic discectomy (MD) and minimally invasive discoscopic surgery (MED), which is characterized by small postoperative reaction and light pain, and you can walk the next day after surgery and be hospitalized for about 5 days-1 week. With the assistance of a microscope or magnifying glass, unilateral laminectomy can also provide adequate bilateral decompression of lumbar spinal stenosis, which is less invasive than the traditional procedure, laminectomy spinal decompression, and is particularly suitable for the elderly. It is a minimally invasive breakthrough in the treatment of lumbar spinal stenosis by protecting the integrity of the muscles through an incisional spinal access to decompress the spinal canal, and is worthy of vigorous promotion and application. 2.Open discectomy (nucleus pulposus removal): It is suitable for cases with severe neurological compression symptoms of disc herniation. Generally, the approach is from the back, small incision is made to peel off the paravertebral muscle on one side, and part of the lamina is removed to open the window and remove the herniated and obviously degenerated nucleus pulposus. Walking can begin 2-3 days after surgery, and hospitalization lasts 1-3 weeks. 3, laminectomy spinal decompression: for patients with central type lumbar disc herniation and spinal stenosis with obvious lower limb pain and i walking difficulties. It includes extensive laminectomy with complete removal of the lamina, and lumbar enlarged laminectomy with excision of a part of the adjacent lamina to open a window (medial intervertebral joint resection). It can i performed 3 to 5 days after surgery. Laminectomy is often used with spinal implant fusion internal fixation. 4, lumbar spine implant fusion internal fixation: for patients with lumbar instability and lumbar spine slippage. In lumbar spine slippage, the vertebrae and vertebrae are misaligned with each other and there is instability, so it is necessary to perform internal fixation with bone graft and metal internal fixation for slippage repositioning, and it is necessary to wear a rigid lumbar brace for 3 months after surgery.