Clinical effects of arthroscopic-assisted uni-portal spinal surgery and unilateral bi-portal endoscopy on unilateral laminotomy for bilateral decompression in patients with lumbar spinal stenosis: a retrospective cohort study

To investigate the clinical effectiveness of Arthroscopic-assisted Uni-portal Spinal Surgery (AUSS) in the treatment of lumbar spinal stenosis. A total of 475 patients with lumbar spinal stenosis from January 2019 to January 2023 were included in this study. Among them, 240 patients were treated wit...

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Published in:Journal of orthopaedic surgery and research 2024-03, Vol.19 (1), p.167-167, Article 167
Main Authors: Wang, Fang, Wang, Rui, Zhang, Chengyi, Song, En, Li, Fengtao
Format: Article
Language:English
Subjects:
Anniversaries
Back surgery
Backache
Blood Loss, Surgical
Care and treatment
Clinical effects
Comparative analysis
Computed tomography
CT imaging
CT imaging parameters
Decompression
Disease
Endoscopic surgery
Endoscopy
Humans
Intermittent claudication
Laminectomy
Low Back Pain
Lumbar spinal stenosis
Medical research
Medicine, Experimental
Orthopedic surgery
Pain
Patients
Retrospective Studies
Spinal canal
Spinal stenosis
Spinal Stenosis - diagnostic imaging
Spinal Stenosis - surgery
Statistical analysis
Stenosis
Surgery
Surgical Wound
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Summary:To investigate the clinical effectiveness of Arthroscopic-assisted Uni-portal Spinal Surgery (AUSS) in the treatment of lumbar spinal stenosis. A total of 475 patients with lumbar spinal stenosis from January 2019 to January 2023 were included in this study. Among them, 240 patients were treated with AUSS (AUSS group); the other 235 patients were treated with unilateral bi-portal endoscopy treatment (UBE group). The differences in surgery-related clinical indicators, pain degree before and after surgery, Oswestry Disability Index (ODI), CT imaging parameters of spinal stenosis, and clinical efficacy were compared between the two groups. Patients in the AUSS group had a shorter operative time than those in the UBE group, and the length of incision and surgical bleeding were less than those in the UBE group, with statistically significant differences (P  0. 05). After operation, patients in both groups showed a significant reduction in low back and leg pain, and their VAS scores were significantly lower than before the operation (P 
ISSN:1749-799X
1749-799X
DOI:10.1186/s13018-024-04621-2