Objective:To analyze the effects of transforaminal lumbar intervertebral fusion(TLIF)and posterior lumbar intervertebral bone graft fusion(PLIF)on perioperative index and postoperative pain in patients with lumbar spinal stenosis.Methods:100 patients with lumbar spinal stenosis who underwent surgical treatment in hospitals from January 2018 to January 2023 were randomly divided into two groups:a control group(n=50)and an experimental group(n=50).The control group received PLIF treatment,while the experimental group received TLIF treatment.The perioperative indicators(surgical time,surgical incision,intraoperative bleeding,postoperative drainage volume,and drainage placement time),lumbar fusion status(modified Oswestry Lumbar Functional Index(ODI)/Japanese Orthopedic Association Assessment Treatment Score(JOA)),pain status(Visual Analog Scale(VAS)),and complications were compared between the two groups of patients.Results:The experimental group had shorter surgical time and bed rest time compared to the control group,with less intraoperative bleeding and postoperative drainage volume compared to the control group(P<0.05);1 month after surgery,two groups of ODIs JOA was lower than preoperative levels,and the experimental group was lower than the control group(P<0.05);1 month after surgery,the VAS of both groups was lower than before surgery,and the experimental group was lower than the control group(P<0.05);The incidence of complications in the experimental group was lower than that in the control group(P>0.05).Conclusion:Compared with PLIF,TLIF is less traumatic for patients with lumbar spinal stenosis,which can effectively improve the lumbar spine function,reduce the postoperative pain degree,and reduce the occurrence of complications.
维普
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