Treatment of bilateral decompression interbody graft fusion with the unilateral approach Single-level lumbar spondylolisthe-sis:compared with conventional PLIF surgery
Treatment of bilateral decompression interbody graft fusion with the unilateral approach Single-level lumbar spondylolisthe-sis:compared with conventional PLIF surgery
Objective To comparatively analyze the clinical efficacy of full endoscopic large channel unilateral approach for bilat-eral decompression and traditional posterior incision lumbar interbody fusion(PLIF)in the treatment of single segment Ⅰ and Ⅱ de-gree lumbar spondylolisthesis.Methods Retrospective analysis was made on the patients with single level lumbar spondylolisthesis hospitalized in Anyang People's Hospital from March 2019 to February 2022.Among them,35 cases were treated with bilateral de-compression and interbody fusion through the single side approach of the full endoscope large channel as the observation group,and 47 cases were treated with traditional posterior incision and interbody fusion as the control group.The general surgical condition,postoper-ative VAS score and ODI score,as well as the 2-year follow-up of intervertebral fusion rate and complications were compared between the two groups of patients.Results After a follow-up of 2 years,the observation group had shorter surgical time,intraoperative bleed-ing,incision length,postoperative drainage volume,and hospital stay than the control group;The VAS score and ODI score of the ob-servation group at various time points after surgery were lower than those of the control group,and the differences were statistically sig-nificant(P＜0.05).There was no statistically significant difference in intervertebral fusion rate and complications between the two groups at 2 years after surgery(P＞0.05).Conclusion The treatment of single segment lumbar spondylolisthesis through full endo-scopic large channel unilateral approach with bilateral decompression and bone grafting fusion has a definite therapeutic effect,high in-tervertebral fusion rate,minimal trauma,less bleeding,short surgical time,good postoperative functional recovery,and fewer surgical com-plications.This provides a clinical basis for the treatment of lumbar spondylolisthesis through spinal endoscopy.
关键词
全内镜/大通道/腰椎滑脱/疗效观察
Key words
full endoscopy/large channel/lumbar spondylolisthesis/observation of therapeutic effects
维普
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