Frogs position in the spinal posterior lumbar micro-endoscopic discectomy in the Applied.docVIP

 PAGE \* MERGEFORMAT 4 Frog’s position in the spinal posterior lumbar micro-endoscopic discectomy in the Applied [Keywords:] frog’s position;, disc herniation; spine; endoscopy [Keywords:] frog’s position; disc herniation; spine; endoscopy 0 Introduction 200007/200510, we use micro-endoscopic spinal posterior lumbar discectomy (microendoscopic discectomy, MED) for lumbar disc herniation and lumbar spinal lateral recess stenosis 1392 cases, of which 407 cases of the traditional prone position group, and with frogs s-bit group of 985 cases of a comparative study, the report is as follows. An object and method 1.1 Object I MED hospital for lumbar disc herniation and lumbar spinal stenosis in patients with lateral recess 1392 (male 863, female 529) cases, including the treatment of early prone position MED down 407 cases, aged 17 to 69 years (mean 41) years of age, duration 1 ~ 49 (average 7.9) mo; 1203 cases presented as low back pain with unilateral lower limb Fangshe Tong, 189 cases presented as a simple lower limb pain and (or) numbness; L4 ~ 5 highlight the 585 cases, L5 ~ S1 highlighted 742 cases, L3 ~ 4 highlight the 65 cases. 1.2 Methods ① The MED Group, under the traditional position: The patient anesthesia or continuous epidural anesthesia, prone position, conventional facilities operation. ② frog’s position under the MED Group: preoperative localization, use self-locking pin in the lesion under local anesthesia thwack Festival Duan upper spinous process, the photo lumbar lateral view, observing the relationship between the positioning pin and the disc guide intraoperative positioning and channel management into the direction. I was sitting in the section in patients with self-developed surgery chair, take frog’s bit, by the alignment pins to determine lesion spike gap, insert the guide needle puncture on the 12th, find lamina incision location. to guide pin as the center layer by layer cut, long 1.6 cm. progressively into the expansion tube, the