Lin Zhengli, Director of Spine and Spine at the Department of Orthopedics of National Cheng Kung University Hospital, said that endoscopic spine surgery minimizes physical wear and tear, and has the advantages of small surgical wounds, small tissue damage, clearer surgical field

Director of Spinal Spine Colin Zhengli of the Orthopedics Department of Chengdu University Hospital said that endoscopic spine surgery minimizes physical wear and tear, and has the advantages of small surgical wounds, small tissue damage, clearer surgical field of view, high surgical safety and fast recovery. (Picture/Photo taken by reporter Lin Yue)

Reporter Lin Yue/Tainan report

A 32-year-old female Li who works as an operator in Nanke often has to bend down to lift heavy objects. Half a year ago, she suddenly had severe pain in her waist and was unable to walk while bending down at work. Colin Zhengli, Director of Spine Spine at the Department of Orthopedics of National Cheng Kung University Hospital, discovered that the intervertebral disc between the 5th lumbar vertebra and the sacral vertebra was ruptured, causing nerve root compression and severe pain. After performing "lumbar endoscopic discectomy", the postoperative The pain improved immediately, and after 2 weeks, there was no need to use painkillers at all, and life returned to normal.

Dr. Lin Zhengli pointed out that the clinic doctor told Ms. Li that the lumbar disc herniation caused sciatica . In addition to giving her anti-inflammatory and analgesic drugs to control the pain, she also arranged rehabilitation and lumbar traction and other treatments, but the pain still could not be relieved. ; Later, she went to the Pain Clinic of the Pain Department to receive spinal epidural injection for nerve pain blockade. However, the pain recurred within a week after the improvement. The pain doctor referred her to the Spine and Orthopedics Clinic of Chengdu University Hospital. The condition improved after surgery.

Dr. Lin Zhengli said that minimally invasive surgery is the mainstream trend. The surgical wound is small and the tissue destruction is small. Combined with the results of surgical treatment, patients can recover faster. Spinal endoscopic surgery uses natural holes such as the intervertebral foramen or interlaminar space that everyone has as the surgical entrance, and uses minimally invasive surgical instruments to minimize the loss of the body due to surgery, and has small surgical wounds, It has the advantages of less tissue destruction, clearer surgical field of view, improved surgical safety and faster recovery after surgery.

Dr. Lin Zhengli said that when spinal endoscopic surgery was first developed, it was only used for intervertebral disc herniation. Due to the advancement of technology and the development of related equipment, the scope of application has been extended to cervical and thoracic spine diseases, and can also be used in degenerative diseases. Treatment of diseases and infections, such as spinal spinal stenosis , thoracolumbar infection, etc.

The Department of Spine and Orthopedics, Department of Orthopedics, National Cheng Kung University Hospital, has used spinal endoscopic surgery to successfully treat more than 100 patients with various spinal diseases in the past five years. Depending on the patient's condition and condition, they can choose general anesthesia or only local anesthesia. The surgical results were good and the patient recovered quickly.

However, Dr. Lin Zhengli also pointed out that not all spinal diseases can be treated with spinal endoscopic surgery. They still need to be further evaluated by professional chiropractors to choose the most appropriate treatment method in order to achieve the best treatment results. Moreover, prevention is better than cure. In daily life and work, you need to pay attention to posture and avoid inappropriate force to avoid injury.