Considering the needs of patients, minimally invasive decompression and midline fusion of cortical bone nails were adopted.
At present, the spirit of minimally invasive surgery is to destroy the minimum normal tissue. Considering that Ms. Lin has a history of obesity and osteoporosis, after in-depth discussion with patients and their families, she decided to adopt the most advanced MIDLF-"minimally invasive decompression cortical nail midline fusion". The incision is only 5 to 6 cm, which is less than that of traditional surgery 1/3, and the amount of bleeding is also significantly reduced. She can get out of bed and walk three days after the operation. Chen Jinwei said that if patients are fixed with traditional pedicle screws, on the one hand, it is difficult to place screws during surgery, on the other hand, it is necessary to peel off normal dorsal muscle tissue in a large scale, which is easy to cause postoperative complications such as muscle fibrosis pain and screw loosening.
Description: Provided by Taipei United Hospital
According to the different types of bone nails used in the operation, minimally invasive decompression and fusion of cortical bone nails can be divided into health care operation and self-funded operation. Chen Jinwei further explained that the biggest difference between using sponge screws and using cortical screws at one's own expense in health insurance is the different pitch. Sponge bone has wider pitch and denser cortical screws. It is worth noting that the tightness of bone pitch has great influence on postoperative recovery.
The choice of surgical methods varies with the degree of spinal degeneration.
Dr. Chen Jinwei said that about two years ago, the latest "minimally invasive decompression and fusion of cortical bone nail midline" was introduced. With the help of X-ray fluoroscopy, the most suitable nail entry point was found in a small incision for bone nail fixation and nerve decompression. Compared with the traditional lumbar internal fixation surgery, it is not only convenient to operate, but also pays attention to changing the nail angle and increasing the contact area with cortical bone, which can provide stronger and more stable fixation force and reduce the loosening of bone nails and the damage of adjacent spinal joints. It is especially suitable for patients with osteoporotic spinal stenosis and patients who need to be revised again after surgery.
Caption: Different surgical methods affect the recovery of muscles and wounds, and doctors need good communication.
In addition, the peeling and involvement of muscle tissue are greatly reduced, so that patients can get out of bed early after operation and greatly increase postoperative satisfaction. Chen Jinxi reminded that the choice of minimally invasive spinal surgery varies from person to person. For different degrees of degenerative spinal diseases, we can choose different minimally invasive methods, and we need to discuss with doctors in detail before operation to get the most satisfactory treatment effect.
Image courtesy of lecreusois from Pixabay.
Subject: MIDLF, minimally invasive surgery, sponge bone nail, cortical bone nail, minimally invasive decompression and fusion surgery of cortical bone nail, spine, spinal degeneration, lumbar spinal stenosis, walking difficulty, degenerative diseases, surgery, foot tingling, orthopedics.