Comparison of Clinical Efficacy Between Unilateral Bilateral Endoscopy Unilateral Laminotomy for Bilateral Decompression and Traditional Laminectomy Decompression for the Treatment of Lumbar Spinal Stenosis
Objective To compare the clinical efficacy of unilateral bilateral endoscopy (UBE) unilateral laminotomy for bilateral decompression with traditional laminectomy decompression treatment of lumbar spinal stenosis (LSS).Methods The clinical data of 60 patients with LSS admitted to our hospital from March 2021 to March 2023 were systematically reviewed, and they were divided into a control group and a research group according to different surgical methods.The control group (n=29) underwent traditional laminectomy decompression, the research group (n=31) underwent UBE unilateral laminotomy for bilateral decompression.The perioperative indicators, degree of lower back and leg pain, and lumbar spine function in both groups were compared.Results There was no significant difference in operation time between the two groups (P>0.05);the intraoperative bleeding and drainage volume in the research group were less than those in the control group, and the incision length, stop drainage time and hospital stay were all shorter than those in the control group, the differences between the groups were statistically significant (P<0.05).3 months after surgery, the ODI scores of both groups were lower than before surgery, and the research group was lower than the control group, the JOA scores of both groups were higher than before surgery, and the research group was higher than the control group, the differences were statistically significant (P<0.05).Conclusion Both surgical methods have good clinical therapeutic effects, but compared with traditional laminectomy decompression, UBE applied in LSS treatment can further improve perioperative indicators, reduce postoperative pain, promote lumbar functional recovery, and have obvious minimally invasive advantages.
Lumbar spinal stenosisUnilateral biportal endoscopyUnilateral laminotomy for bilateral decompressionTraditional laminectomy decompressionLumbar spine function
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