What are the general surgical methods for lumbar disc herniation?

There are many ways to perform lumbar disc herniation surgery**, and different surgical methods can be used for different situations. Some patients with mild protrusion and single or double protrusion can use minimally invasive interventional methods, such as radiofrequency ablation, ozone ablation, etc., which can play a role in symptomatic analgesia. Minimally invasive intervertebral foraminoscopy or microscopy can also be used to visualize the operation to remove the herniated disc nucleus pulposus, relieve the entrapped nerve root, and release the nerve root channel, which can well alleviate the radicular symptoms caused by the herniated disc.

The most classic surgery for lumbar disc herniation is small fenestration of the disc, which can be done through a small fenestration under the microscope to remove the herniated disc. For some patients with lumbar instability, cauda equina syndrome, or spinal stenosis, spinal decompression disc removal and lumbar fusion surgery can be performed. However, a large proportion of patients with simple disc herniation can undergo minimally invasive surgery**, including nucleus pulposus ablation and radiofrequency ablation.

Now everyone is more recognized as a minimally invasive surgery is lumbar disc removal under spinal endoscopy, which is commonly referred to as intervertebral foraminoscopy surgery.

If it is not particularly serious, you need to go for removal surgery if you choose some traditional methods, and you can recover quickly at this time, but if it is more serious, you need to go for excision, and finally laser, or you can also do endoscopy to treat it, all of which are supported by medicine and will not be risky.

The hormone method can be used, which can also ensure that the patient's problem can be solved quickly in this process, but under normal circumstances, it cannot be fully recovered after the operation, and the follow-up needs **.

It can be relieved by massage, acupuncture, and orifice, excision, and medication.

Surgical methods for lumbar disc herniation. It is to separate the position of the compressive nerve in the bone gap to effectively alleviate the protruding symptoms.

It can be observed with a microscope, and the protruding lumbar disc should also be removed, and it can also be massaged, and it can also be operated on with equipment, and some minimally innovative surgeries can be performed, etc.

First, the surgical method should be able to completely solve the patient's clinical symptoms, and the operation is to solve the problem for the patient. If a surgical approach does not completely improve the patient's symptoms or address the patient's distress, then this surgical approach should not be chosen; Second, the surgical approach should take into account the patient's feelings as much as possible. In general, patients with less trauma should be selected and recover more quickly;

Foraminoscopy, laminectomy, nucleus pulposus extraction, discectomy, all of these can be done, but it may have a certain impact on our lumbar disc, and we must go through good recuperation in the later stage.

We can do that kind of minimally invasive surgery or open surgery, and it can be done with medication**, these methods are all possible, and we don't feel any pain, and there are no sequelae.

The methods of lumbar intervertebral disc herniation also include surgery, conventional surgery includes open surgery, in addition, in recent years, the more popular are intervertebral discoscopic minimally invasive surgery, as well as percutaneous puncture aspiration.

Strictly speaking, the surgical indications for lumbar intervertebral disc herniation should be called the surgical indications for lumbar intervertebral disc herniation, and lumbar intervertebral disc herniation and lumbar intervertebral disc herniation are two concepts that are not exactly the same. If the patient only has imaging and MRI CT imaging manifestations of lumbar intervertebral disc herniation, it is not necessary to **, and only after the appearance of symptoms, it is necessary to carry out **. For lumbar disc herniation, the severity of symptoms is conservative**, and if the degree of symptoms is severe, surgery is required**.

The surgical indications for lumbar disc herniation are as follows:

The first point: if the patient has severe low back pain, radiating pain in the lower limbs, ordinary painkillers are not relieved, or even oral, or intramuscular injection of strong morphine painkillers, the pain can not be effectively relieved, affecting sleep, and even some patients, how to stay is very painful, this situation should consider surgery**. [Please follow the doctor's instructions for the dosage of the medicine, and it is strictly forbidden to change it by yourself].

The second point: if a patient with lumbar intervertebral disc herniation has muscle paralysis, muscle atrophy, and muscle weakness of the lower limbs, this situation should be operated on as soon as possible, and emergency surgery should be performed, otherwise it is difficult to get a satisfactory recovery from this situation. Point No.:

If the patient has a combination of urinary and urinary dysfunction, urinary incontinence, or urinary retention, emergency surgery should also be performed as soon as possible**, indicating that the lumbar intervertebral disc herniation has cauda equina damage, and the patient's prognosis is also very poor, and emergency surgery should be performed as soon as possible.

The fourth point: patients with lumbar intervertebral disc herniation, if the onset time is relatively long, and the long-term conservative ** effect is not very satisfactory, surgery should also be considered, for example, the conservative ** time exceeds 1 month, 2 months, 3 months, and the long-term conservative ** can not be satisfactorily relieved, which will have a more serious impact on the patient's normal life, work and study, and surgery should also be used as soon as possible.

The so-called lumbar disc herniation mainly refers to the regressive changes of various parts of the lumbar disc to varying degrees, and then the intervertebral disc fibers are ruptured under the action of external force. 80% of patients have lumbar disc herniation, which will cause symptoms such as numbness of the lower limbs and low back pain, but the degree of pain is different depending on the patient's condition. So do I need surgery for a herniated disc?

What conditions do I need surgery?

After a patient has a herniated lumbar disc, whether it is mild or severe, it is important to take the correct approach**. For mild patients, conservative** medications can be used, such as internal medications or topical plasters. In addition, patients need to be aware that surgery is required immediately when the following conditions occur.

Clause. 1. Patients who are ineffective through conservative **. In the case of lumbar disc herniation, if there is no effect on conservative **, it is recommended to take surgery ** to prevent aggravation of the condition, and the common surgical options are spinal endoscopic disc nucleus pulposus extraction, hemilaminectomy, and intervertebral fusion.

Clause. 2. Patients with aggravated symptoms or reverse. Lumbar disc herniation is a more complex disease, if the symptoms are more severe and reverse, seriously affecting normal life and work, it is best to undergo surgery.

Clause. 3. Patients with complications. If cauda equina syndrome or significant nerve involvement occurs after a herniated lumbar disc occurs, surgery is required**.

If the lumbar disc is very serious, you can go to a regular hospital for surgery**, you must pay attention to rest, eat lightly, and eat more vegetables and fruits.

The standard of surgery for lumbar disc herniation is not based on the degree of lumbar disc herniation, but on the patient's symptoms. The standard of surgery is that after 4-6 months, there is no obvious effect, the symptoms gradually worsen, and the symptoms of numbness appear.