The scope of minimally invasive spine surgery technology includes: (1) Spinal microsurgery technology. Using an operating microscope or a high-power magnifying glass to magnify the surgical field of view for surgical operations, "keyhole surgery" is performed through the smallest possible skin incision, so that spinal surgery can provide the most effective treatment with minimal iatrogenic damage. Including anterior cervical surgical discectomy under microscope, posterior lumbar microsurgical discectomy (median approach, lateral approach, extraforaminal approach), etc. (2) Endoscopic-assisted spinal surgery technology. The spine is reached through several skin channels or tiny incisions, and the surgical operation is performed under direct vision using fiber optic imaging technology. Endoscopically assisted spine surgery techniques can be divided into thoracic, laparoscopically assisted and microendoscopically assisted spine surgery. (3) Percutaneous spine surgery technology. Minimally invasive spine surgery is performed through percutaneous puncture or tiny incisions, using special instruments and devices. (4) Navigation system-assisted spinal surgery technology. It is a new technology developed in the late 1990s. With the assistance of navigation systems, it has significantly improved the accuracy and safety of surgery and reduced complications.
The current situation and problems of minimally invasive spine surgery in my country
Minimally invasive spine surgery technology in my country started late. In the 1980s, microscopic lumbar disc removal surgery, percutaneous C02 laser nucleus pulposus vaporization, percutaneous nucleus pulposus chemical dissolution, etc. appeared successively in my country. Minimally invasive spine surgery technology has developed rapidly in my country, but the development of minimally invasive spine surgery technology is uneven. Not many tertiary hospitals carry out this technology, while the proportion of secondary hospitals and first-level hospitals that carry out this technology is far more than that of tertiary hospitals. . Many units or individuals that carry out this technology have not undergone strict training and have not strictly mastered the indications for surgery. They have not met the conditions and have been driven by economic interests to carry out this technology hastily. As a result, the incidence of complications is too high. It will bring serious consequences and cause disputes between doctors and patients. All these issues require our careful summary and urgent improvement. The significance and value of minimally invasive spinal surgery
Surgery is the main method of surgical treatment. Surgeons should strive to achieve the best therapeutic effect with minimal tissue damage. Therefore, the development of minimally invasive spinal surgery technology should have the advantages of less trauma, less pain, faster recovery, better efficacy, fewer complications, and lower cost for patients. At the same time, the development of minimally invasive spine surgery technology requires doctors to break through the shackles of traditional concepts, continuously learn new theories, master new technologies, and have the spirit of hard work, innovation and self-dedication. The development of minimally invasive spine surgery technology must comply with the medical ethics of "medical ethics and benevolence", gain social approval, reduce negative effects to a minimum, bring a good medical market, and achieve substantial economic and social benefits.