Minimally invasive technology of the Chinese People's Liberation Army 291 Hospital

The minimally invasive cervical and lumbar spine surgery department of PLA 291 Hospital is in line with the development of international medical technology, and possesses international cutting-edge high, precise, and sharp modern diagnostic and treatment equipments as well as the leading special technology for curing cervical and lumbar spine diseases: PLA No.291 Hospital has invested a huge amount of money in introducing the German laser minimally invasive surgical system, PLDD (Percutaneous Laser Disc Vaporization) technology, which is the most advanced, non-invasive and safe and effective high-tech technology for treating herniated disc in developed countries such as Europe, America, Japan and Korea. PLDD is the most advanced, non-invasive, minimally invasive, safe and effective high-tech technology, which is the first choice of treatment program for herniated discs in developed countries such as Europe, the United States, Japan and Korea. Accurate diagnosis and scientific treatment is the key to the recovery of patients with herniated disc, and blind treatment will cause endless troubles. The pain clinical diagnosis and treatment center combines various modern interventional techniques (percutaneous laser disc vaporization / disc chemical dissolution / medical ozone ablation) to better solve the problem of patient's efficacy, to achieve both safe and less painful.

Percutaneous laser disc vaporization and decompression (PLDD) is different from traditional orthopaedic surgery. Under local anesthesia and fluoroscopic positioning monitoring, the needle, which is slightly thicker than the intramuscular injection, is inserted into the herniated disc, and the fiber optic guide is placed along the hollow needle, applying the semiconductor laser minimally invasive surgical system newly developed in Italy. The latest semiconductor laser minimally invasive surgical system developed in Italy is applied to improve the microenvironment around the nerves and the inflammatory response through the warmth and heat effect of the laser, effectively relieving various neurological symptoms. The time required for percutaneous laser vaporization is generally 10-30 minutes, and patients generally need to stay in the hospital for a week.

PLDD Features

◆Basically no bleeding: The PLDD procedure is performed by inserting a 1.3 mm diameter needle into the herniated disc, so there is basically no bleeding.

◆Treatable with local anesthesia: Local anesthesia is applied to the puncture site, making the procedure accessible to patients with heart disease and diabetes who are unable to undergo general anesthesia.

◆Short hospital stay: It takes about 30 minutes from the injection of anesthetic to the end of the surgery. You can return to normal life in 3 days after the surgery.

◆No scar: Since only a fine needle is inserted into the body to introduce the laser fibers, there is no scar left on the skin.

◆Good results: 60% of patients treated with PLDD recovered on the day of the procedure, 20% recovered one week after the procedure, and 10% recovered one month after the procedure, which is comparable to the results of open surgery.

◆High safety: overcoming the spinal instability, nerve root damage, paraplegia and other complications caused by open surgery.

◆Lower fee: Compared with the cost of tens of thousands of dollars of traditional open surgery, PLDD surgery dramatically reduces the cost of hospitalization for patients. Ozone is a strong oxidant, compared with oxygen, has the characteristics of specific gravity, odorless, colored, soluble in water, easy to decompose, etc. Its half-life is about 20 minutes at room temperature. Ozone molecular disc fusion is the safest and most advanced treatment technology for herniated disc. This technology was firstly created by Prof. Marco-Leonardi in Italy, and has been widely applied in some European countries such as Italy, Germany, France and the United States, etc. It has been recognized as one of the most effective means of cervical and lumbar disc herniation treatment without surgery. Its clinical effectiveness rate is up to 97% or more.

Principle of intervertebral disc ozone molecular myeloablation

The ozone molecules produced by the medical ozone therapy instrument have strong oxidizing ability and nucleus pulposus ablation, injecting it into the nucleus pulposus of the protruding intervertebral discs can instantly oxidize proteoglycans within the nucleus pulposus tissue and destroy the nucleus pulposus cells, so that proteoglycans function is lost, and the osmotic pressure of the nucleus pulposus tissue can't be maintained, resulting in the loss of water and atrophy, thus decreasing the risk of herniation. The osmotic pressure in the nucleus pulposus tissue cannot be maintained, resulting in loss of water and atrophy, thus lowering the pressure in the intervertebral disc, eliminating the symptoms, and achieving the goal of complete treatment. Since ozone does not act on the nerve tissue around the nucleus pulposus, the excess ozone molecules become oxygen and are absorbed by the body after 30 minutes. Therefore, there is no residue in the body, it is a new green therapy, the ablated nucleus pulposus tissue is absorbed by the body and will not recur, it is one of the safest, most effective, least damaging, and most thorough treatment techniques.

The main advantages of ozone therapy for herniated disc

◆High safety factor: puncture under the guidance of laser auto-localization C-arm, precise and safe, ozone only ablates the nucleus pulposus without damaging the tissues around the nucleus pulposus and the nerves, and the excess ozone is gradually turned into oxygen to be absorbed by the body, with no residual residue in the body.

◆No pain, little risk: the puncture needle (diameter 1.3mm) is slightly thicker than the injection needle, almost no risk and pain.

◆Rapid effect. High efficacy: the pain symptoms are relieved quickly, and the treatment of herniated discs is usually cured only once.

◆No allergic reaction and other obvious complications: the special structure of ozone has no allergic reaction and residue in the body, and the strong oxidizing ability of ozone makes the infection rate in the body almost zero.

◆Wide range of age adaptation: safe for senior patients. Therapeutic principle: Radiofrequency target thermo-coagulation for cervical spondylosis is an international treatment method with little trauma, high safety factor, little pain for patients, fast effect and low risk. The technology is under the C-type X-ray machine accurate positioning, digital subtraction monitoring, navigation system under the precise guidance of the direct protruding parts of the nucleus pulposus denaturation, coagulation, contraction and reduce the volume, release the compression. Reduce the injury to the normal nucleus pulposus tissue, repair the rupture of the annulus fibrosus, inactivate the newborn lesions in the disk of the hypersensitive nerve endings, block the release of glycoprotein and beta protein in the nucleus pulposus fluid, warm effect on the damage to the annulus fibrosus, edema of the nerve root, inflammatory reaction within the spinal canal to play a good therapeutic role.

Treatment Advantages:

1. Accurate Positioning: Imported radiofrequency vaporization rods under CT monitoring cause ionic shock and heat generation, instantly vaporizing the diseased tissues to achieve the purpose of eradicating the disease.

2. Precise identification and stimulation function: the technology is extremely accurate, the surgery at the same time repair the rupture of the annulus fibrosus, so that the cervical and lumbar disc herniation will not recur.

3. Unique impedance display function.

4. Controllable temperature.

5. No damage to normal tissue.

6. Humanized treatment: safe and painless surgery, no toxic side effects, low cost, short course of treatment, and excellent effect on recurrent cervical and lumbar spondylosis.

Indications: cervical intervertebral disc herniation, lumbar intervertebral disc herniation, vertebral small joints, sacroiliac joint pain, discogenic pain. Treatment principle: the surgery is guided by the C-arm X-ray, the doctor will insert a needle into the intervertebral disc, the use of radiofrequency energy in the nucleus pulposus of the intervertebral disc, through the molecular decomposition of the low-temperature, in the intervertebral disc vaporization of a number of grooves, reduce the pressure within the disc, thus relieving the pain and alleviating the irritation of the intervertebral disc tissues on the nerve root, and then closed with thermal coagulation after the surgery. The procedure causes minimal damage to neighboring tissues, and there is no concern about thermal damage. The surgery is minimally invasive without scarring, simple to operate, and does not affect spinal stability.

Treatment advantages:

1. Using radiofrequency energy inside the nucleus pulposus of the intervertebral disc, the molecules are utilized to break down multiple grooves at low temperatures, reducing the pressure within the intervertebral disc.

2. Highly respected by European cervical and lumbar spine disease experts, minimal damage to adjacent tissues. Small trauma, maximum protection of the wall of the fibrous ring, can effectively repair the fibrous tissue of the disc, caused by postoperative disc degeneration is small.

3. Low-temperature safety, both anti-inflammatory effect, fast recovery, low cost, low rate of disc protrusion, short operation time, is the first choice for patients who pursue the speed of treatment.

Indications: cervical spondylosis caused by increased pressure within the intervertebral disc and irritation of the nerves. With the development of science and technology, lumbar disc herniation treatment methods are also endless, but what method can treat lumbar disc herniation is still the most concerned problem of many patients. Experts suggest that what method can treat lumbar disc herniation, chemical molecule knife dissolving disk surgery can play an important role.

The cervical and lumbar spine surgery/minimally invasive surgery experts at the PLA's Second Ninety-first Hospital introduced what method can treat lumbar disc herniation, chemical molecule knife dislodgement of discs can play a major role, it has the medication dissolved in addition to the nucleus pulposus, it is not necessary to open the knife surgery, but better than the effect of open the knife.

The principle of chemical molecule knife discolysis for lumbar disc herniation:

The basic principle of this technology is to use the hydrolysis effect of protease to dissolve the nucleus pulposus, release the water, and ultimately atrophy, which will promote the reduction of pressure in the intervertebral discs, so that the nerve root compression can be lifted. After a series of clinical studies, both papain and collagenase nucleolytic techniques have been confirmed to have more precise efficacy.

The advantages of chemical molecule knife lysis of lumbar disc herniation treatment:

1, the new molecular level safety surgery, the use of protease hydrolysis, the lesion nucleus pulposus tissue will be dissolved and discharged.

2, high safety: one of the most effective means of international treatment of cervical and lumbar spondylolisthesis, the surgical precision rate reaches the molecular level, and the cure rate is as high as 97% or more.

3, can achieve the purpose of radical cure: surgery can achieve the effect of radical cure, small damage, little pain, short recovery time, does not affect the patient's normal life, without the need for personal escort, affordable.

Chemical molecule knife discolysis with its many advantages into what can treat lumbar disc herniation of the first choice for the program, for the patient to bring the gospel, is your health on the road to the guardian.

Indications: simple lumbar disc herniation, lumbar disc herniation mainly combined with lumbar spinal stenosis in some patients. Treatment principle: under X-ray fluoroscopy with special instruments to puncture the intervertebral disc, with the attractor of the special rotary cutting drill to reciprocate, rotate, movement, cutting the nucleus pulposus tissue, and the nucleus pulposus tissue out. The pressure within the intervertebral disc is lowered, and the pressure on the spinal nerves or nerve roots is completely relieved to achieve the goal of healing. Treatment Advantages:

1. Using the world's most advanced 17G spatial drill, direct target rotary cutting of the protruding nucleus pulposus tissue, reducing the pressure around the nerve root; treatment is intuitive, can quantitatively and selectively rotary cutting and remove the protruding nucleus pulposus tissue at that time; wide range of indications.

2. The surgery can completely relieve the compression of spinal nerves or nerve roots, with obvious effects, almost no complications and sequelae, and a very low recurrence rate.

3. Small trauma, low risk, high accuracy, fast recovery, low cost, controllability (amount of puncture operation and rotational cutting), and thorough treatment are especially suitable for middle-aged patients with cervical and lumbar disc herniation.

Indications: cervical spine: nerve root type and spinal cord type cervical spondylosis; lumbar spine: lumbar disc herniation with intact fibrous ring. Treatment Principle: Waterjet discectomy utilizes high-energy waterjet to remove the nucleus pulposus of the intervertebral discs, relieving back and leg pain caused by herniated discs. The surgery is performed with a waterjet slightly thicker than the needle of a syringe, and the high-speed water flow from the head part of the knife cuts and washes the nucleus pulposus of the herniated discs, and the refluxing water flow carries the resected material out of the body to achieve the purpose of decompression of the discs, which will alleviate the compression of nerves caused by the diseased discs. Pressure on the nerves. After the surgery, the pain in the lower back or lower extremities caused by the previous nerve compression quickly disappears.

Treatment advantages:

1, safety: disc waterjet produced by the high-speed cutting water column will not produce temperature, to avoid high temperature on the spine and the surrounding nerve damage, at the same time, the waterjet head of the special design of the rotary cutter head and the depth of damping to avoid penetrating the intervertebral disc fibrous ring brought about by the damage.

2. Controllable: The waterjet head can cut the suction range under the control of the surgeon and is not affected by the patient's age or the morphology of the diseased intervertebral disc. This completely avoids the damage that other minimally invasive surgical methods may cause to the spinal nerves due to high temperature.

3. The pressure on the intervertebral discs is lifted completely, and the pain in the lower back or lower extremities caused by the nerve compression disappears very quickly, which has an immediate effect.

4, the use of high-energy waterjet cut and wash the nucleus pulposus of the protruding part of the disc, the reflux of the water flow will be removed from the excised material.

Indications: inclusive disc herniation, lower extremity nerve symptoms, patients are not suitable for other surgical treatment. Road discoscopy (Micro Endo Disc System) technology is currently the most advanced international minimally invasive spinal surgery new concept, which has revolutionized the traditional surgical methods, promote the development of spinal surgery technology, is the safest and most effective invasive spinal surgery, a technological innovation.

Therapeutic principle: this technology is under the supervision of endoscopy, using surgical instruments to directly remove the herniated nucleus pulposus of the intervertebral disc and deal with spinal stenosis, the principle of the operation, the operation process, clinical efficacy of the same as open surgery.

Treatment advantages:

1. Less traumatic, safe, quick, and less likely to recur after cure.

2. The surgery is completely visual, without the need for large incisions, especially suitable for patients who are afraid of surgery and suffer from back and leg pain.

The minimally invasive cervical and lumbar spine surgery department of PLA 291 Hospital is the largest and most technically powerful cervical and lumbar spine specialized research and treatment institution in Inner Mongolia Autonomous Region with great influence at home and within the military, and it is at the leading level in the research and treatment of cervical and lumbar spine diseases.