Comparative Study on the Effects of Unilateral Biportal Endoscopy Technique Treatment and Traditional Surgery on Lumbar Spine Function in Patients with Calcified Lumbar Disc Herniation
Comparative Study on the Effects of Unilateral Biportal Endoscopy Technique Treatment and Traditional Surgery on Lumbar Spine Function in Patients with Calcified Lumbar Disc Herniation
Objective To compare the effects of unilateral biportal endoscopy(UBE)treatment and tradi-tional surgery on lumbar spine function in patients with calcified lumbar disc herniation(LDH).Methods The clinical data of 61 patients with calcified LDH admitted to the Department of Orthopedics of Puning Hospital of Traditional Chinese Medicine between April 2021 and April 2023 were retrospectively analyzed and divided into an observation group(n=30,UBE treatment)and a control group(n=31,traditional open surgical treatment)according to the surgical methods.Surgical time,surgical incision,postoperative hospitalization days were com-pared between the two groups,and Visual Analogue Scale(VAS)and Japanese Orthopedic Association JOA scores were recorded.Results In the observation group,the operation time was shorter and surgical incision was significantly smaller than those in the control group,and the differences were significantly significant(both P<0.05),while there was no significant difference in the comparison of postoperative hospitalization time between the two groups(P>0.05).The VAS scores of the observation group decreased at 1 week and 1 month after sur-gery,and the VAS scores of the observation group were significantly lower than those of the control group,and the differences were significantly significant(both P<0.05).JOA scores in the observation group had a tendency to increase at 1 week and 1 month after surgery,and JOA scores of(23.78±1.30)points and(27.25±1.12)points in the observation group were significantly higher than(20.81±1.46)points,(25.57±1.23)points,of the control group,and the differences were significantly significant(both P<0.05).Conclusion Compared with traditional open surgery,UBE for calcified LDH has the clinical advantages of less trauma and quicker recovery,which helps to improve lumbar spine function and has better clinical results.
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