Observation of the effect of unilateral two-channel spinal endoscopy in the treatment of degenerative diseases of the elderly lumbar spine
SUN Zhong-zheng,WANG Yong,SUN Kai
Department of Spinal Surgery, Lu Hospital of Traditional Chinese Medicine, Peking University Medical University, Zibo, Shandong 245500, China
Abstract:
Objective To investigate the clinical effect of unilateral dual-channel spinal endoscopy (UBE) in the treatment of degenerative diseases of the elderly lumbar spine. Methods A total of 80 elderly patients with lumbar degenerative diseases admitted to our hospital from January 2022 to June 2023 were selected and divided into control group and observation group according to the even admission number, with 40 cases in each group. The control group was treated with traditional lumbar interbody fusion, and the observation group was treated with UBE. Visual analogue scale (VAS), Lumbar Spine Japanese Orthopaedic Society (JOA) score, Oswestry Disability Index (ODI) score, serum indexes [TNF-α, interleukin-6 (IL-6), IL-4] before and after treatment were compared between the two groups, and the clinical effects and surgical conditions were compared between the two groups. Results The clinical effective rate of the observation group was 97.50%, with no statistically significant difference compared to the control group's 87.50% (P>0.05). The VAS scores of lumbago and leg pain in the observation group were lower than those in the control group at 7 days, 1 month and 3 months after operation (P<0.05). The JOA score of the observation group was higher than that of the control group at 7 days, 1 month and 3 months after surgery, and the ODI score was lower than that of the control group (P<0.05). The levels of TNF-α and IL-6 in the observation group were lower than those in the control group 7 days after surgery, while the level of IL-4 was higher than that in the control group (P<0.05). The total incidence of postoperative complications in the observation group was 5.00%, which was not significantly different from the control group's 12.50% (P>0.05). The surgical time, intraoperative blood loss, and postoperative hospital stay in the observation group were all lower than those in the control group (P<0.05). Conclusion In elderly patients with degenerative diseases of lumbar spine, UBE treatment can improve postoperative pain, lumbar function, inflammatory response, shorten operation time and hospital stay, and reduce intraoperative blood loss, with significant efficacy and certain safety.
