Clinical efficacy of full-visualization single-channel endoscopic posterior lumbar interbody fusion
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 2
Abstract
<b>Objective</b> To analyze the clinical efficacy of full-visualization single-channel endoscopic lumbar interbody fusion (PE-PLIF) in the treatment of lumbar degenerative diseases, and to explore the application skills and significance of endoscopic spinal canal decompression and interbody fusion. <b>Methods</b> From January 2021 to December 2022, 50 patients who underwent PE-PLIF in The Affiliated Huai ‘an No.1 Hospital of Nanjing Medical University were selected retrospectively. A total of 56 lower lumbar segments were treated with spinal canal decompression and interbody fusion. The expandable cage implantation technique was used for spinal canal decompression, intervertebral fusion, and percutaneous pedicle screw internal fixation. The visual analogue scale (VAS) score of low back pain and lower limb pain, Oswestry disability index (ODI), and modified MacNab scoring system were used to evaluate the clinical efficacy before and after operation. <b>Results</b> The VAS scores of low back pain were 5.2±1.1, 2.2±0.7, 1.5±0.6, 1.3±0.7, 1.0±0.9 before operation, 1 day, 3 months, 6 months after operation and at the last follow-up, respectively. The VAS scores of lower limb pain were 7.2±1.0, 2.0±1.0, 0.5±0.3, 0.3±0.2, 0.3±0.2, respectively. The ODI was 66.3±7.4, 16.6±5.0, 12.4±3.6 and 10.7±3.3 before operation, 3 months, 6 months after operation and at the last follow-up, respectively. The VAS score and ODI score decreased after operation, and the differences were statistically significant compared with those before operation (P<0.05). According to the modified MacNab criteria, the rate of excellent and good was 92.0% at last follow-up. <b>Conclusion</b> PE-PLIF can achieve effective decompression of the spinal canal, high rate of interbody fusion, less trauma, less bleeding, rapid recovery and other advantages. By optimizing the operation process, the operation time of arthroscopic decompression and fusion can be significantly shortened, and the risk of nerve root traction injury can be reduced.
Authors and Affiliations
ZHANG Lin*, CHEN Xiaogang, ZHUANG Yu, LI Tao, CAI Feng
Keywords
Related Articles
- EP ID EP736517
- DOI 10. 13429/j.cnki.cjcr.2024.02.013
- Views 62
- Downloads 0
Biomarkers for early diagnosis of sepsis-associated acute kidney injury
Sepsis-associated acute kidney injury (SA-AKI) is a heterogeneous syndrome caused by direct mechanisms of sepsis or indirect mechanisms induced by sepsis treatment, leading to kidney damage. Current research of SA-AKI fo...
Influence of fascia iliaca block under ultrasound on anesthesia placement position and postoperative analgesia in patients with hip fractures
Objective To compare the influence of fascia iliaca block (FIB) under ultrasound and intraspinal anesthesia on anesthesia placement position and postoperative analgesia in patients with hip fractures. Methods A total o...
Relationship of vascular endothelial growth factor expression and microvessel density with clinicopathological features of triple-negative breast cancer
"Objective To detect the expression of vascular endothelial growth factor (VEGF) and microvessel density in cancer tissues of breast cancer patients, and to analyze their relationship with clinicopathological characteris...
Three-dimensional evaluation of the anatomy of the mental foramen region by cone-beam CT in patients with malocclusion
Objective To investigate the differences in anatomical structures of the mandibular mental foramen region in patients with bony class Ⅱand class Ⅲ malocclusions. Methods Preoperative CBCT images of 256 patients who under...
Efficacy of different combinations of antihypertensive drugs in patients with nocturnal hypertension
<b>Objective</b> To observe the efficacy of different combinations of antihypertensive drugs in patients with nocturnal hypertension (NH), and provide reference for clinical work. <b>Methods</b> A cross-sectional stu...