Ultra -weight patients lumbar disc herniation minimally invasive intervertebral pores surgery to relieve pain

Ultra -heavy patients lumbar disc herniation minimally invasive intervertebral pores surgery to relieve pain

Recently, Professor Li Zhiwei, Dean of Nanjing University of Traditional Chinese Medicine (No. 2 Traditional Chinese Medicine Hospital in Jiangsu Province), has a spine minimally invasive team with a diameter of only 7mm endoscopy. Highlight the nuclear removal of the nucleus "and treat the lumbar disc herniation.

Dean Li Zhiwei

For patients with 260 pounds of patients with lumbar disc herniation surgery for lumbar discosus

Mr. Zhang, 34, weighed more than 260 pounds. Three months ago, he had back pain discomfort due to accidental sprains, accompanied by the left lower limb pain and numbness. Essence The pain worsened when walking, and there was obvious clamor. The pain was relieved after rest and conservative treatment.

When Professor Li Zhiwei first diagnosed Mr. Zhang, he felt "a mountain" standing in front of him. Patient's typical abdominal obesity, with a BMI of 36.81kg/m2 (normal BMI is generally 18.5-24). After the detailed consultation and examination of Professor Li Zhiwei, combined with imaging data, the diagnosis was considered "lumbar disc herniation with calcification (L4/5)". Discussion on the department team, communicating with patients with patients, comprehensive patients with the age, physical fitness, incidence characteristics, and patient demands of the patient. In the end, intervertebral pore surgery is more suitable. However, due to the excessive weight of the patient, the thickness of the subcutaneous fat is several times that of ordinary people, resulting in the depth of the operation of the surgical field of view greatly increased. The length of the spine endoscopy is only 177mm, so minimally invasive surgery is very difficult. Getterian disc calcification also increases the difficulty of processing intervertebral disc under the mirror, and has extremely high requirements for the operating technology of the operator.

On the day of surgery, the patient's low back pain relieved significantly, and the symptoms of numbness of the left lower limbs disappeared. The straight leg lifting test was immediately recovered to 70 ° before 30 ° before surgery. On the second day after surgery, you can walk with your waist. Reviewing the lumbar spine CT shows: The prominent nucleus myelone has been removed. The remaining indicators are normal. The patient was restored to discharge in three days and obtained the maximum benefits with the smallest trauma.

Dean Li was surgery for patients

These major reasons cause lumbar disc herniation

Professor Li Zhiwei introduced that there are a few causes of lumbar disc herniation:

1. Intervertebral discus degeneration is the root cause of lumbar disc herniation. With the increase of age, the intervertebral disc, gradually degenerating, the moisture content of the fiber ring and the nucleus myelopa nucleus gradually decreases, the nucleus myelone loses elasticity, and the fiber ring gradually occurs. The intervertebral disc was ruptured, and the nucleus, fiber ring, and even the final board protruded backwards.

2. Long -term low head and bending work, long -term sitting work and other bad lifestyles are important factor that induce disc herniation.

3. Increased living standards: Due to the gradual increase in the proportion of overweight people, the load of the lumbar spine gradually increases, so the incidence of lumbar disc herniation is also increasing.

4. Waist trauma: such as falling, accidental sprains, heavy objects, improper use of strength, etc., can also cause intervertebral discus injury.

Lumbar disc herniation image

Patients with lumbar disc herniation should avoid waiting for a long time to wait for poor habits

Professor Li Zhiwei reminds everyone that the following three types of patients: obese patients, severe lumbar degeneration patients, and patients with diabetes. Even if the postoperative symptoms are completely alleviated, the opportunity for postoperative recurrence will be significantly higher than other patients. Patients with lumbar discs, avoid sedentary, bend over and other actions in life to control weight to reduce the burden on lumbar intervertebral discs. At the same time, under the guidance of a doctor, strengthen the function of lumbar muscle function to increase the stability of the lumbar spine, avoid the lumbar disc Highlight the symptoms worse or recur!

Spinal minimally invasive therapy has entered a new era. Among them, intervertebral pore mirror minimally invasive surgery is a great weapon for spinal minimally invasive surgery. Professor Li Zhiwei of the Second Hospital of Traditional Chinese Medicine in Jiangsu Province took the lead in performing minimally invasive surgery in intervertebral pores in the province and achieved satisfactory results in clinical practice. And on the basis of traditional surgery, advanced technology exploration is continuously carried out, towards the goal of "traditional surgical minimally invasive, minimally invasive surgery", and provides more accurate, minimally invasive and suitable surgical methods for the majority of patients, and is committed to committed The maximum efficacy of the patient with the smallest trauma, the least cost, the fastest, and cutting -edge technology for the patient!

Correspondent Miao Qing Duanzi served as Jinjie Nanjing Morning Post/Ai Nanjing reporter Qian Ming

Diagram of hospitals

- END -