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Experts at Foshan Zhenggu Orthopedic Hospital Successfully Performs Two-Level Annulus Fibrosus Repair under Endoscopic Foraminoplasty

Date:2025-09-19  Read:

Yesterday, the team led by Dr. Jianfu Chen at Foshan Zhenggu Orthopedic Hospital successfully performed a two-level endoscopic foraminoplasty-assisted discectomy combined with annulus fibrosus repair for a 17-year-old patient with lumbar disc herniation. Through minimally invasive techniques, the surgeons precisely removed the herniated nucleus pulposus and meticulously sutured annular tears at two segments, effectively reducing the risk of postoperative recurrence and providing strong assurance for the patient’s early recovery and return to normal life.


Case Presentation
The patient, a 17-year-old male, had long suffered from low back pain and restricted mobility. Multiple courses of conservative treatment had yielded poor results, and his condition had seriously affected daily life. Lumbar MRI revealed: L4/5 and L5/S1 disc bulging and herniation with degeneration, secondary spinal canal stenosis, and mild lumbar osteophyte formation. Based on the clinical symptoms and imaging findings, the diagnosis was lumbar disc herniation, lumbar spinal canal stenosis, and lumbar spondylolisthesis.

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After detailed discussion, Dr. Chen’s team determined that the patient met the indications for surgery and developed a targeted surgical plan: endoscopic discectomy and annulus fibrosus repair at L4/5 and L5/S1. The procedure was completed successfully. Postoperatively, the patient experienced significant relief of pain and is currently undergoing further rehabilitation.

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During the operation, Dr. Chen’s team, drawing on extensive clinical experience and excellent technical skills, achieved precise discectomy at both segments, effectively relieving nerve root compression, while also performing meticulous annular repair. At the L4/5 segment, conventional suturing was used, whereas at L5/S1 — where the annular tear was larger — a “V-shaped” suture technique was applied to ensure tight closure. This approach maximized the preservation of the patient’s intervertebral disc physiological function.

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