Comparison of efficacy between unilateral biportal endoscopic and uniportal spinal endoscopic lumbar interbody fusion in treatment of lumbar degenerative diseases
Comparison of efficacy between unilateral biportal endoscopic and uniportal spinal endoscopic lumbar interbody fusion in treatment of lumbar degenerative diseases
Objective To compare the clinical efficacy between unilateral biportal endoscopic transforaminal lumbar interbody fusion(UBE-TLIF)and spinal endoscopic transforaminal lumbar interbody fusion(Endo-TLIF)in the treatment of lumbar de-generative diseases.Methods Ninety-two cases of lumbar degenerative diseases diagnosed and treated from June 2020 to June 2022 were analyzed retrospectively,including 48 cases of UBE-TLIF operation and 44 cases of Endo-TLIF operation.The operation time,intraoperative blood loss,postoperative drainage,serum creatine kinase and hemoglobin levels on the first day af-ter operation,postoperative low back pain VAS score,leg pain VAS score,ODI index,interbody fusion and modified MacNab evaluation at the last follow-up were compared between UBE-TLIF group and Endo-TLIF group.Results All the 92 patients were followed up for at least one year.One year after operation,there were 39 cases of grade Ⅰ,8 cases of grade Ⅱ and 1 case of grade Ⅲ in UBE-TLIF group,while in Endo-TLIF group,there were 37 cases of grade Ⅰ,6 cases of grade Ⅱ and 1 case of grade Ⅲ 1 year after operation.In UBE-TLIF group,the results of modified MacNab evaluation were excellent in 25 cases,good in 18 cases and fair in 5 cases,while in Endo-TLIF group,the results of modified MacNab were excellent in 23 cases,good in 16 cases and fair in 5 cases.There was no significant difference between the two groups at the last follow-up(P＞0.05).There was no significant difference in operation time,intraoperative blood loss,postoperative drainage and hemoglobin level on the first day be-tween UBE-TLIF group and Endo-TLIF group(P＞0.05).On the first day after operation,the level of serum creatine kinase in Endo-TLIF group was significantly lower than that in UBE-TLIF group(P＜0.05).There was no significant difference in low back pain VAS score and leg pain VAS score at 1 day,3 months and 1 year after operation between the two groups.There was no significant difference in ODI index at 3 months and 1 year after operation between the two groups(P＞0.05).Conclusion Both UBE-TLIF and Endo-TLIF can achieve satisfactory clinical results in the treatment of lumbar degenerative diseases.Endo-TLIF has less damage to paraspinal muscles,while UBE-TLIF has flexible operation and lower requirements for instruments.
维普
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