椎間孔鏡(jing)被(bei)一些專家稱為治(zhi)療脊柱微創技術理(li)(li)想技術，手術一般(ban)需要患者(zhe)(zhe)者(zhe)(zhe)趴著(zhu)或者(zhe)(zhe)側臥,通(tong)(tong)(tong)過結合C形臂或者(zhe)(zhe)CT來(lai)進行穿刺、放入導絲(si)，利用(yong)(yong)安(an)全(quan)骨鉆、環琚(ju)、或者(zhe)(zhe)動力(li)系統、擴張管建立工(gong)(gong)作通(tong)(tong)(tong)道，放置工(gong)(gong)作套(tao)管，根(gen)據醫生的(de)操作習慣經過一系列步驟來(lai)保(bao)(bao)證穿刺和及放置工(gong)(gong)作套(tao)的(de)精(jing)準。連接影(ying)像系統，將(jiang)椎間孔鏡(jing)主鏡(jing)放入工(gong)(gong)作套(tao)管中，主鏡(jing)前端一般(ban)是(shi)有(you)一定角度的(de)，有(you)一個工(gong)(gong)作通(tong)(tong)(tong)道，有(you)2個小孔是(shi)灌注通(tong)(tong)(tong)道，是(shi)生理(li)(li)鹽(yan)水(shui)的(de)進出(chu)(chu)口，灌注生理(li)(li)鹽(yan)水(shui)可(ke)(ke)以沖洗出(chu)(chu)血和手術中一些小的(de)碎片組織(zhi)，同(tong)時讓光源和攝像頭(tou)(tou)保(bao)(bao)持干凈清楚，另外還有(you)一個小圓(yuan)頭(tou)(tou)，是(shi)集(ji)了(le)燈光源和攝像頭(tou)(tou)。這樣髓核鉗就可(ke)(ke)以通(tong)(tong)(tong)過工(gong)(gong)作通(tong)(tong)(tong)道在可(ke)(ke)視下達(da)到椎間盤突(tu)出(chu)(chu)位置，把突(tu)出(chu)(chu)的(de)組織(zhi)取出(chu)(chu)來(lai)。并利用(yong)(yong)低溫等離子電極消融止血。

     椎(zhui)(zhui)(zhui)間(jian)孔(kong)(kong)鏡(jing)手術在局麻狀態下，自脊椎(zhui)(zhui)(zhui)側(ce)方(fang)一約0.7cm的(de)(de)(de)切(qie)口處將椎(zhui)(zhui)(zhui)間(jian)孔(kong)(kong)鏡(jing)放置到相應椎(zhui)(zhui)(zhui)間(jian)盤(pan)突出部位，在孔(kong)(kong)鏡(jing)放大(da)直視下，用微創器械(xie)摘除突出的(de)(de)(de)椎(zhui)(zhui)(zhui)間(jian)盤(pan)組(zu)織(zhi)并(bing)處理椎(zhui)(zhui)(zhui)管狹(xia)窄(zhai)(zhai)，直接(jie)解(jie)除神經壓迫。此治療方(fang)法幾乎適用所有類型椎(zhui)(zhui)(zhui)間(jian)盤(pan)突出、部分椎(zhui)(zhui)(zhui)管狹(xia)窄(zhai)(zhai)、椎(zhui)(zhui)(zhui)間(jian)孔(kong)(kong)狹(xia)窄(zhai)(zhai)、鈣化等(deng)骨(gu)性(xing)病變，具有創傷小、時(shi)間(jian)短、出血少，術后恢復(fu)快，術后并(bing)發癥少等(deng)特點(dian)，無需植入鋼板內固定，大(da)大(da)減輕了病人的(de)(de)(de)經濟負擔。