Effect of PE-TLIF on Lumbar Function and long-term Degeneration in Patients with single segment Lumbar Disc Herniation accompanied by segmental Instability
Objective To explore the effects of percutaneous endoscopic transforaminal lumbar interbody fusion(PE-TLIF)on lumbar spine function and long-term degeneration in patients with single segment lumbar disc herniation and segmental instability.Methods A total of 120 patients with single segment lumbar disc herniation accompanied by segmental instability admitted to Xuchang People's Hospital from January 2020 to May 2022 were randomly divided into PE-TLIF group and control group,with 60 patients in each group.The control group patients were treated with nucleus pulposus removal surgery,while the PE-TLIF group was treated with PE-TLIF.The pain scores and lumbar functional recovery of the two groups of patients before and one month after surgery were compared.Following-up will be conducted six months after surgery to record and compare the long-term lumbar degeneration of the two groups of patients.Results One month after surgery,the visual analogue pain(VAS)scores of patients in the PE-TLIF group were lower than those in the control group,and the differences were statistically significant(P＜0.05).One month after surgery,the Oswestry dysfunction index and joint range of motion of patients in the PE-TLIF group were lower than those in the control group,and the difference was statistically significant(P＜0.05).One month after surgery,the treatment efficacy of PE-TLIF group patients was 76.67%,while the control group was 63.33%,with no statistically significant difference(P＞0.05).After 3 months of surgery,the effective rate of treatment in the PE-TLIF group was 85.00%,while in the control group it was 65.00%,with a statistically significant difference(P＜0.05).After 6 months of surgery,the effective rate of treatment in the PE-TLIF group was 95.00%,while in the control group it was 85.00%,with no statistically significant difference(P＞0.05).Conclusion PE-TLIF treatment can alleviate patient pain faster and enable faster recovery of lumbar spine function.
国家科技期刊平台
NSTL
万方数据
维普
