Clinical Study of Lumbar Intervertebral Bone Graft Fusion and Internal Fixation under Unilateral Biportal Endoscopic in the Treatment of Degenerative Lumbar Spondylolisthesis
Objective:To investigate the clinical value of unilateral biportal endoscopic(UBE)lumbar intervertebral bone graft fusion and internal fixation in the treatment of degenerative lumbar spondylolisthesis(DLS).Method:A total of 60 DLS patients admitted to Jiangxi Hospital of Integrated Traditional and Western Medicine from March 2020 to January 2023 were selected and divided into two groups according to random number table method,control group(n=30)and observation group(n=30).The control group received traditional surgery,and the observation group received UBE lumbar intervertebral bone graft fusion and internal fixation.Operation-related indexes,pain degree[visual analogue scale(VAS)],inflammatory indexes[white blood cell count(WBC),neutrophil count(NE),C reactive protein(CRP)]were compared between the two groups,the interbody fusion rate was compared after 3 months of follow-up.Result:The intraoperative bleeding volume in the observation group was less than that in the control group,and the hospital stay was shorter than that in the control group,and the interbody fusion rate was higher than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in operation time between the two groups(P>0.05).After 3 days,7 days and 1 month,VAS scores of both groups decreased gradually,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).2 days after surgery,the levels of WBC,NE and CRP in both groups were increased,but those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The use of UBE in DLS patients can reduce the bleeding volume,reduce the degree of postoperative pain and inflammation,and improve the rate of interbody fusion.
Degenerative lumbar spondylolisthesisUnilateral biportal endoscopicLumbar intervertebral bone graft fusion and internal fixationPain degree
万方数据
维普
