Observation on the efficacy of robot-assisted percutaneous fixation combined with localized laminectomy in the treatment of single segment lumbar tuberculosis in the elderly
Objective To evaluate and compare the clinical efficacy between robot assisted short-segment percutaneous fixation combined with unilateral localized laminectomy and anterior surgery in the treatment of elderly patients with single segment lumbar tuberculosis.Methods Ninety-seven older patients with single segment lumbar tuberculosis were retrospectively collected.Among these patients,46 were treated with robot-assisted short-segment percutaneous fixation combined with unilateral localized laminectomy and 51 were treated with the anterior surgical approach.The operative time,blood loss,postoperative drainage,hospital stay,ambulation time,complications,blood transfusion rate,albumin infusion rate,hospital cost,visual analogue scale(VAS),Oswestry Disability Index(ODI)and laboratory results were compared between the two groups.Results All 97 patients met criteria for bony fusion during an average follow-up of 19 months.The intraoperative blood loss of the robot-assisted group was significantly less than that of the anterior group,and the hospitalization time and ambulation time were significantly shorter than those of the anterior group(P＜0.05).There were no significant differences in complication rates between the two groups(P＞0.05).After 7 days and one month of surgery,VAS score in the robot-assisted group was significantly lower than that in the anterior group(P＜0.001).The ODI score of the robot-assisted group was significantly better than that of the anterior group after 7 days,1 month and 3 months of operation(P＜0.05).Hemoglobin and albumin in the robot-assisted group were significantly higher than those in the anterior group after 24 hours and one month of surgery(P＜0.05).Conclusions Robot-assisted short-segment percutaneous fixation combined with unilateral localized laminectomy is an effective and safe treatment for older patients with single segment lumbar tuberculosis.
NETL
NSTL
万方数据
