Recently, the Department of Spine Surgery of the Orthopedic and Trauma Center of the Third Affiliated Hospital of the University of Intensive Medical Sciences used minimally invasive transforaminal lumbar interbody fusion MIS-TLIF to relieve a patient of more than 30 years of low back pain.
The patient, Mr. Zou, 73 years old, developed unexplained low back pain 30 years ago, and his symptoms worsened significantly after sitting and bending over for a long time.
Recently, due to the further aggravation of the pain and difficulty in walking, Mr. Zou went to the Deputy Chief Physician Sun Hongzhen of the Department of Spine Surgery of the Third Affiliated Hospital of the University of Intensive Medical Sciences for treatment. After a detailed examination, Dr. Sun Hongzhen found that Mr. Zou had a herniated disc in L4/5 and L5/S1 with lateral recess stenosis, and severe nerve damage in his lower limbs.
Dr. Sun Hongzhen and his colleagues perfected the preoperative examination and evaluation for Mr. Zou, and organized case analysis and preoperative discussions, considering that the patient had lumbar disc herniation with lateral recess stenosis, lumbar instability, and significant loss of intervertebral space height. If traditional open decompression fusion surgery is adopted, the paravertebral soft tissue of the patient needs to be extensively dissected, the surgical trauma is large, the surgical risk is high, and the postoperative recovery of elderly patients is slow and there are many potential complications. In order to completely relieve nerve compression, rebuild spinal stability, reduce the patient's medical costs as much as possible, and shorten the hospitalization and bed rest time, Dr. Sun Hongzhen's team decided to implement minimally invasive transforaminal approach to L4/5 and L5/S1 interbody fusion (MIS-TLIF) after full communication with the patient.
On the second day after the operation, Mr. Zou left the bed under the protection of his waist circumference and moved freely, and his leg pain was completely relieved, and he was discharged from the hospital on the fourth day after the operation. Patients and their families are full of praise for the results.
Introduction to MIS-TLIF technology
MIS-TLIF technology: minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is developed on the basis of posterior open transforaminal lumbar interbody fusion, which has been widely used in lumbar disc herniation, lumbar spinal stenosis, lumbar instability, lumbar spondylolisthesis, lumbar isthmus fissure and partial revision surgery.
Advantages of MIS-TLIF: This technology completes the lumbar discectomy, spinal canal decompression, intervertebral bone graft fusion and other surgical operations of the target segment under the channel through navigation guidance or 3D digital C-arm fluoroscopic submuscular space approach, avoiding the extensive dissection of paravertebral soft tissues by traditional open surgery. Therefore, MIS-TLIF surgery has less trauma, less intraoperative bleeding, short hospital stay, and faster postoperative recovery, which can achieve lumbar nerve root decompression and stable reconstruction under minimally invasive, and reduce the occurrence of complications such as long-term intractable low back pain.
Expert Profile
Hongzhen Sun: Deputy Chief Physician, Associate Professor, Doctor of Medicine
Sun Hongzhen has been engaged in orthopedic clinical and teaching work for 36 years, served as the deputy director of the Department of Spine Surgery of the Army Characteristic Medical Center, visited Endo Klinc in Germany, the International Spine Institute in Las Vegas in the United States, and the Swedish Neuroscience Institute in Seattle for Xi, and conducted special technical training on cervical artificial disc replacement in the Third Hospital of Beijing; published more than 20 papers as the first author, participated in the compilation of monographs such as "Field Surgery", "Practical Pediatric Surgery" and "Disaster Medicine"; and was good at various spinal degenerative diseases (cervical spondylosis, Repair and reconstruction of lumbar spinal stenosis and lumbar disc herniation), cervico-occipital junction lesions, scoliosis, deformities, tumors, infectious diseases, etc.
Clinic hours: Wednesday and Friday
Li Pei: Deputy Chief Physician, Associate Researcher, Postdoctoral Fellow
Li Pei has been engaged in the clinical diagnosis and treatment of spine surgery diseases for a long time, graduated from the Army Medical University, and won the university-level "Outstanding Doctoral Graduate" and "Excellent Doctoral Dissertation" awards during his doctoral studies; published more than 30 SCI papers as the first author or corresponding author, authorized 5 national patents as an inventor, edited or participated in the compilation of 4 monographs, presided over 9 scientific research projects at all levels such as the National Natural Science Foundation of China, the China Postdoctoral Science Foundation, and the Chongqing Natural Science Foundation; and won the title of "Chongqing Young and Middle-aged Medical High-end Talents" He is good at the diagnosis and treatment of cervical and lumbar degenerative diseases (cervical spondylosis, lumbar disc herniation, lumbar stenosis, lumbar spondylolisthesis, etc.), thoracolumbar fractures, spinal infectious diseases, spinal tumors, and elderly osteoporotic vertebral compression fractures.
Clinic hours: All day on Tuesdays
Gao Yongjian: Attending physician and in-service doctoral candidate
Gao Yongjian has been engaged in clinical, teaching and scientific research in orthopedics and spine surgery for many years, participated in academic exchanges at home and abroad for many times, studied minimally invasive spine technology in the largest minimally invasive spine surgery center in China, and mastered common minimally invasive spinal techniques, such as MIS-TLIF, PELD/PEID, endoscopic radiofrequency ablation of the posterior medial branch of the spinal nerve, endoscopic posterior cervical discectomy (Key-hole technology), etc., published more than ten papers in authoritative journals at home and abroad, and participated in the compilation of 1 monograph.
Clinic time: Friday morning (lumbar disc herniation clinic)
(Text/Correspondent Liu Guibi)