Comparative Study of Two Different Surgical Treatments for Lumbar Disc Herniation with LumbarInstability
To compare the early clinical efficacy of UBE-TLIF and TLIF in the treatment of single-level lumbar disc herniation with lumbar instability,a retrospective analysis was performed on 21 patients who were hospitalized for single-level lumbar disc herniation with lumbar instability from January 2020 to August 2022.Among them,12 patients received UBE-TLIF and 9 patients received TLIF.Operation time,operative blood loss,hospital stay and complications were recorded in the two groups.Visual Analog Scale(VAS)and Oswestry Disability Index(ODI)were recorded before operation,1 month,3 months and 12 months after operation in both groups.The results show that:there were significant differences in lumbar VAS score and ODI between the UBE-TLIF group and the TLIF group at 1 week after surgery(P<0.05).The average operation time in the UBE-TLIF group was significantly longer than that in the TLIF group(P<0.05).Operative blood loss and length of stay in the UBE-TLIF group were less than those in the traditional TLIF group(P<0.05).Cerebrospinal fluid leakage was a complication in 1 case in the UBE-TLIF group,while incision infection occurred in 1 case in the traditional TLIF group.In conclusion,UBE-TLIF can be regarded as an effective method for the treatment of single segment lumbar disc herniation with lumbar instability.Compared with TLIF,UBE-TLIF can significantly reduce the symptoms of low back pain in the early postoperative period,and the early clinical effects is better than TLIF,which can significantly shorten the length of hospital stay and will recover soon.