What Is Ostephytes Surgery?
The osteoporotic fracture foramen minimally invasive surgery is a minimally invasive surgical method for the treatment of osteoporotic fractures. This method has less trauma, less pain and good results.
Minimally invasive osteoporotic fracture
- 1. Spinal nerve root pain caused by osteoporotic fractures and intervertebral foramen hyperplasia, and those who have poor results after conservative treatment;
- 2. Central, paracentral, lateral, and extreme lateral osteoporotic fractures;
- 3. Patients with partial lumbar intervertebral foraminal stenosis;
- 1. Patients with osteoporotic fractures with more severe heart and kidney dysfunction;
- 2. Those with posterior longitudinal ligament, lateral ligament relaxation, and lumbar instability;
- 3. Excessive bone hyperplasia or fibrous anterior ligament calcification;
- 4. Patients with bleeding disorders;
- 5. Those who are highly suspicious of this technique and are unwilling to undergo this operation.
- 1. Re-analyze the patient's condition and imaging before surgery;
- 2. Determine the surgical target and approach;
- 3. Prone position, routine disinfection, towel spreading and local anesthesia;
- 4. Under the perspective of the C-arm, guide the puncture needle to the target point, and gradually step into the working catheter to establish a working channel;
- 5. Place the intervertebral foramen, observe the tissue structure under the microscope, avoid nerves and blood vessels, and analyze the ligaments, fibrous rings and nucleus pulposus;
- 6. Observe while rinsing, and after confirming that it is correct, remove the prominent nucleus pulposus or fibrous ring;
- 7. Use bipolar electrocoagulation to clean the wound surface. Trioxygen-resistant intervertebral foramen can inject 36ug / ml trioxygen through the special entrance on the mirror. wound.
- 1. When the clinical manifestations do not match the imaging data, minimally invasive surgery is not recommended.
- 2. The posterior entrance should prevent epidural hematoma, stop bleeding sufficiently, and carefully observe the absence of bleeding before extubation and suture.
- The minimally invasive techniques for osteoporotic fractures are: "Minimally invasive surgery for posterior approach", "Minimally invasive surgery for osteoporotic fracture", "Minimally invasive surgery for osteoporotic fracture". Minimally invasive surgery has the most advantages.
- 1. Small trauma: The incision is only 7mm, which avoids the interference of spinal canal and nerves by traditional posterior surgery, does not bite the lamina, does not damage paravertebral muscles and ligaments, and has no effect on spinal stability.
- 2, small risk: only local anesthesia, intraoperative human disease responds accurately to pain and numbness, so it does not hurt nerves and blood vessels; and little bleeding.
- 3. Straight and middle-disease disease: The C-arm guide is used to reach the treatment target accurately by using the posterior or lateral approach, and the protrusions can be accurately removed under visible conditions.
- 4. Fast recovery: You can go to the ground the next day after the operation, return to normal work and physical exercise on average 3-6 weeks, and the recurrence rate is less than 3%.