Recently, the orthopedic spine team of Beijing Temple of Heaven Hospital successfully carried out the first arthroscopic assisted single hole endoscopic spine (AUSS) surgery, successfully performing minimally invasive nucleus pulposus removal surgery for a taxi driver suffering from lumbar disc herniation and relieving nerve root pressure. This is another spinal micro innovation technology completed by the orthopedic spine team of the hospital after performing intervertebral foramen endoscopic surgery and unilateral dual channel endoscopic surgery, marking a new level of minimally invasive diagnosis and treatment of the spine in the hospital. Mr. Chen, who is 45 years old this year, is a taxi driver. Due to his habit of sitting for long periods of time while driving, his symptoms of lower back and leg pain recur intermittently. He has been diagnosed with lumbar disc herniation for more than 2 years. Due to his fear of the traditional "big knife" surgical plan for lumbar disc herniation, he has been using conservative treatment to relieve pain and his condition has been fluctuating. Recently, Mr. Chen's symptoms have been frequent and significantly worsening, with unbearable lower back pain and scoliosis. In severe cases, he cannot straighten his waist at all. At the same time, he has severe radiating pain and numbness in his left lower limb, sometimes even making it difficult to walk, which seriously affects his normal movements and life. Mr. Chen, who suffered greatly from illness, has been transferred to multiple hospitals for treatment, but his condition has never been effectively relieved. A month ago, he came to Beijing Temple of Heaven Hospital for orthopedic treatment. After receiving the appointment, Chief Orthopedic Physician Judy conducted a detailed examination and physical examination, and issued relevant tests for him. The lumbar MRI results showed that Mr. Chen had severe disc herniation in the fourth and fifth lumbar vertebrae, and the nucleus pulposus had prolapsed into the spinal canal, compressing the nerve roots and requiring surgical treatment. Before admission, Mr. Chen was still very worried: Is there a minimally invasive surgical method for treating lumbar disc herniation without using a large knife? In response to Mr. Chen's condition, Director Liu Baoge of the Orthopedics Department organized a spinal team to conduct case analysis and preoperative discussions after ward rounds, and ultimately decided to use a new type of arthroscopic assisted single hole spinal endoscopy technology for treatment based on the treatment concept of "individualization, precision, and minimally invasive". This surgical method combines the minimally invasive advantage of small soft tissue damage caused by intervertebral foramen endoscopy with the flexible operation and high decompression efficiency of dual channel endoscopic surgery Director Liu Baoge introduced that this can allow patients to move underground earlier, reduce the occurrence of complications, and shorten the postoperative recovery time as much as possible. After improving preoperative preparation, with the strong cooperation of the anesthesiology department and the operating room, Dr. Judy and Dr. Wang Lei, chief orthopedic surgeons, successfully removed the lumbar disc nucleus pulposus that compressed the nerve root for Mr. Chen in just about an hour. The entire surgery was completed under clear and magnified endoscopic monitoring, with an incision size of only 1.5 centimeters at the surgical site, achieving the expected results of minimal bleeding, minimal dissection, and high efficiency. The surgical process went smoothly, and the postoperative back pain and lower limb symptoms were immediately significantly relieved. The next day, the patient was able to get out of bed and move around, and the preoperative discomfort symptoms almost completely disappeared. In just three days, he was discharged smoothly. According to Dr. Zhu Di, as China has gradually entered a deeply aging society, the incidence rate of spinal degenerative diseases has increased year by year, becoming a major health problem for middle-aged and elderly people. Among them, diseases such as lumbar disc herniation, lumbar spinal stenosis, and cervical spondylosis are particularly common, bringing great inconvenience and pain to patients' lives. In clinical practice, surgery is often the "last resort" for spinal diseases that have failed conservative treatment. With the rapid development of minimally invasive technology, spinal minimally invasive techniques represented by spinal endoscopy and spinal microscopy have been widely used in clinical practice and achieved satisfactory therapeutic effects. Compared with traditional open surgery, minimally invasive surgical techniques have less damage to the paraspinal muscles of the spine, can preserve the intact spinal structure to the greatest extent possible, maintain postoperative spinal stability, and have advantages such as minimal trauma, less bleeding, faster recovery, fewer complications, and precise therapeutic effects. With the development of treatment concepts, surgical techniques, and medical devices, minimally invasive spinal technology has become a thriving trend in China. (New Society)