Clinical efficacy and safety of endoscopic unilateral laminotomy for bilateral decompression in the treatment of lumbar spinal stenosis
Objective To compare the clinical efficacy and safety of percutaneous uniportal endoscopic unilat-eral laminotomy for bilateral decompression(UE-ULBD)with posterior lumbar interbody fusion(PLIF)for treating lum-bar spinal stenosis(LSS).Methods A retrospective analysis was conducted on the clinical data of 74 patients who re-ceived surgical treatment for LSS in Luoyang Orthopaedic-Traumatological Hospital of Henan Province from March 2021 to March 2023.According to the different surgical methods,the patients were divided into the UES-ULBD group:(43 cases)and the PLIF group(31 cases).Surgical time,intraoperative bleeding,24-hour postoperative drainage,hospi-tal stay,and Visual Analogue Scale(VAS)and Oswestry Disability Index(ODI)scores for lumbar pain before and after 1 day,3 months,and 1 year of operation were compared between the two groups.The overall incidence of postoperative complications was also compared between the two groups.Results In the UE-ULBD group,the operative time,intraop-erative blood loss,24-hour postoperative drainage volume,and hospital stay were(71.75±11.23)min,(47.35±3.31)mL,(58.31±6.31)mL,and(5.57±1.25)days,respectively,which were significantly shorter(less)than corresponding(119.45±18.760)min,(249.85±11.03)mL,(104.65±11.37)mL,(10.34±1.53)days in the PLIF group,and the differences were sta-tistically significant(P<0.05).The VAS and ODI scores for lumbar and leg pain in the UE-ULBD group were significant-ly lower than those in the PLIF group at 1 day,3 months,and 1 year postoperatively,with statistically significant differenc-es(P<0.05).The total incidence of postoperative complications in the UUE-ULBD group was 4.65%,significantly lower than 19.35%in the PLIF group(P<0.05).Conclusion UE-ULBD offers the advantages of minimal invasiveness,short-er operation time,faster recovery,and higher safety,making it an effective surgical method for treating LSS.
万方数据
维普
