Effect of Percutaneous Spinal Endoscopy and Transforaminal Endoscopic Spine System on Spinal Stability and Pain Mediators in Single Segment Elderly Patients with Lumbar Lateral Recession Stenosis
Objective:To investigate effect of percutaneous spinal endoscopy and transforaminal endoscopic spine system(TESSYS)on spinal stability and pain mediators in single segment elderly patients with lumbar lateral recession stenosis.Method:A retrospective analysis was conducted on the case data of 80 single segment elderly patients with lumbar lateral recess stenosis admitted to the Orthopedic Department of Xinyu Mining Hospital from January 2020 to October 2022.They were divided into the control group(n=40)and the observation group(n=40)based on treatment methods.The control group was treated with microscopic endoscopic discectomy;the observation group was treated with TESSYS technique under percutaneous spinal endoscopy.The perioperative conditions,spinal stability,pain mediators[norepinephrine(NE),dopamine(DA),serotonin(5-HT),substance P(SP)]and lumbar spine function between two groups of patients were analyzed and compared.Result:The incision length of the observation group was shorter than that of the control group,and the intraoperative blood loss was less than that of the control group,the postoperative bed rest time and postoperative hospital stay were shorter than those of the control group,the differences were statistically significant(P＜0.05).There was no statistically significant difference in the operation time between the two groups(P＞0.05).Before treatment,there were no statistically significant differences in spinal stability,pain mediators(NE,DA,5-HT,SP)and lumbar functional indicators between the two groups(P＞0.05);one month after treatment,the lumbar curvature of the two groups decreased significantly,and that in the observation group was lower than that in the control group,the lordosis index and sacral slope angle of the two groups increased significantly,and those in the observation group were higher than those in the control group,the differences were statistically significant(P＜0.05).One month after treatment,the levels of pain mediators in the two groups decreased,and those in the observation group were lower than those in the control group,the differences were statistically significant(P＜0.05).One month after treatment,ODI and VAS scores of the two groups decreased,and those of the observation group were lower than those of the control group;the JOA score of the observation group was higher than that of the control group,the differences were statistically significant(P＜0.05).Conclusion:The application of TESSYS technology under percutaneous spinal endoscopy in the treatment of single segment elderly patients with lumbar lateral recess stenosis has the advantages of smaller incision,more minimally invasive,and fast postoperative recovery.It can alleviate patient pain,improve spinal stability and lumbar function,and has significant short-term therapeutic effects.
万方数据
维普
