Cervical spondylosis, lumbar disc herniation, lumbar spondylolisthesis for medical purposes, are degenerative disorders, also known as degen
Cervical spondylosis, lumbar disc herniation, lumbar spondylolisthesis for medical purposes, are degenerative disorders, also known as degenerative change or degeneration". Plainly, is the "old and tired", is approximately equal to the white hair, wrinkles. Aging is It's only human. began aging, since the age of 20. Everyone, by the age of 90.
The following errors are common in my patients -- two extremes:
One is the fear of surgery and resolutely refused surgery,
One is blindly believe that the operation of the power".
The etiology of cervical spondylosis, lumbar disc herniation, lumbar spondylolisthesis is aging + fatigue - tired is not physical labor, but long time working at a desk, car, car, house, computer, playing cards, knitting, playing games etc.. For example, in recent years, college students, high school students, and even primary school students because of poor learning posture, playing computer games, early appearance of lumbar disc herniation more and more. Play the Nordic census shows that: 14 to 18 year olds, 9% disc "black", reflecting the degeneration of the intervertebral disc (i.e. aging). This suggests that the intervertebral disc is much older than previously thought. IPad, such as the emergence of advanced games, will increase the situation.
Surgery can not solve the basic factors of disease - aging + tired". In other words, surgery can not cure the degeneration".
Tangdu Hospital of The Fourth Military Medical University professor Li Weixin stressed that the purpose of operation is to solve two problems: 1, nerve compression (surgery can relieve nerve compression); 2, spinal support insufficiency (surgical bone fusion and internal fixation -- "nail")
Even surgery, it is impossible to fundamentally solve the aging + tired". Because the cause of the disease can not be cured, 200 years may be ok. If you really can cure, can "ever-young" + "forever labor".
The following lumbar disc herniation surgery, for example, further description.
1, the most classic prolapse of lumbar intervertebral disc surgery is fenestration lumbar discectomy". This procedure is to remove the herniated intervertebral disc, relieve nerve compression. The postoperative symptom relief was 70%, and the recurrence rate was 5-10%. General incision 4-5cm (vary from person to person, such as fat people long wound), postoperative recovery 1-2 days of discharge. The operation was performed under direct vision, and the operation risk was small.
Because this kind of operation was excised only 10 ~ 20% "bad" intervertebral disc, relatively "good" intervertebral disc still is maintained -- it is relative only. Continue to live, work, the likelihood of recurrence after surgery is 5 to 10%.
2, the second common operation is "hit the nail". General surgery, complications, more, slow recovery. There is no good way for the necessary cases". Even if the nail, the "fixed" section is no problem, but the adjacent sections will continue to age, the possibility of a general problem again or 5-10%.
3, minimally invasive is today's popular, a wide variety, even in Europe and the United States are also trying stage, to be improved. (1) radio frequency, ozone, laser - wound 1~2cm, suitable for patients with mild disease. The general goal is to reduce the aging of the intervertebral disc, indirect decompression effect, can not stop the degeneration". (2) discectomy - wound 2cm, the body of the operation as the incision, just the surface of the wound to reduce.
Foreign spine degeneration surgery called surgery time to buy surgery (buy time) - buy a period of time, bad to buy again.
British data show that patients with lumbar disc herniation surgery group and conservative group, 5 years after the physical situation is similar - the difference is that patients with surgery to recover quickly, to resume work as soon as possible. In other words, the symptoms can not stand, can be conservative; symptoms are too heavy, can not help, it is necessary to operate as soon as possible. The following situation, must as soon as possible, or even emergency operation: foot (ankle lift), cauda equina nerve damage (size can't control and anal muscle weakness and numbness), obvious muscle atrophy. Limbs numbness, weakness, walking instability, hand is not flexible, should be operated as soon as possible. In addition, do not operate under the circumstances, they need to strengthen protection, to avoid trauma or fatigue, resulting in deterioration of the condition.
Of course, the operation is "no way a good way", also known as "the art of regret". For example, the operation is similar to the fire, it is impossible to cure a fire hazard, but once again the fire, but also to save.
Recurrent symptoms after operation, patients are generally cold or tired again. Most of them do not pay attention to the results of sitting posture, activity and back muscle exercise for a long time. In most cases, a good rest in bed for 1-2 weeks after the symptoms can be relieved.
A small number of patients with persistent symptoms, but also re surgery. But once again, the risk of surgery, trauma will be larger than the first.
All in all, even if the operation, their protection is still important: pay attention to posture, ground activities, strengthen the back muscle exercise. This self protection should be lifelong. Not cramming.
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