Lumbar disc herniation combined with spinal canal stenosis, is it suitable for minimally invasive surgery?

If the diagnosis is clear, the medical history is more than half a year, the pain is serious, which affects work, study and life, and the regular system non-surgical treatment is ineffective, surgery should be performed as soon as possible to relieve the pain. (2) Patients with obvious symptoms and severe pain who are ineffective after conservative treatment by the formal system. People whose daily life is seriously affected. (3) Patients with other causes of lumbar spinal stenosis who need surgical exploration of spinal canal. (4) Central disc herniation, compression of cauda equina nerve, obvious symptoms of cauda equina nerve compression, affecting urination and defecation function. If conservative treatment fails, posterior decompression and internal fixation can be considered. You can choose minimally invasive treatment first. Minimally invasive surgery is the current trend, especially spinal surgery. Surgery is still the last choice for most people, unless there is obvious gradual participation of the nervous system. Most patients and doctors agree with minimally invasive discectomy. However, for the treatment of lumbar disc herniation, the degree of minimally invasive surgery varies greatly among surgeons. One of the most commonly used modern minimally invasive techniques is micro-lumbar discectomy or small incision lumbar discectomy. Micro lumbar discectomy has several advantages. A smaller surgical incision can be achieved by pulling muscles with a special small retractor or tubular retractor. Many doctors use endoscopes or surgical microscopes. To reduce injury, divide or stretch muscles along it. Today, smaller incisions have been used for most microdiscectomy. Improvements in minimally invasive techniques of standard lumbar laminectomy and discectomy include smaller incisions, smaller retractors and surgical techniques (minimally invasive surgery of nerve roots, blunt slotting of annulus fibrosus, removal of free debris or removal of debris through defective areas of annulus fibrosus).