Comparison of the Effect of Unilateral Two-Channel Spinal Endoscopic Technique and Traditional Open Fusion in the Treatment of Two-Level Lumbar Diseases
YANG Jiahao
ZHANG Xi
WANG Dan
Abstract：Objective To compare the effects of unilateral biportal endoscopy(UBE)and posterior lumbar interbody fusion(PLIF)in the treatment of two-lever lumbar disease.Methods A total of 89 cases of lumbar degenerative disease were selected as the retrospective study subjects,who were treated in the First Affiliated Hospital of Zhengzhou University from January 2021 to January 2022.Patients were divided into the minimally invasive group(UBE,30 cases)and the open group(PLIF,59 cases)according to different surgical methods.Intraoperative blood loss,postoperative bed time,hospital stay,operation time,visual analogue scale(VAS),Oswestry disability index(ODI)score,Japanese Orthopaedic Association(JOA)score,modified MacNab standard evaluation,and complication rate were compared between the two groups.Results Compared with the open group,the amount of intraoperative bleeding in the minimally invasive group were lower,postoperative bed rest and hospitalization days were shorter,while the operation time was longer(P＜0.001).There were differences in the waist in every time of postoperative VAS,JOA,ODI score between the minimally invasive group and the open group(P＜0.05).At the end of the follow-up,patients were evaluated using the modified Macnab criteria,and there was no differences in the rates of excellence(P=0.585).There was no difference in the incidence of postoperative complications(P=0.990).Conclusion Compared with the traditional open fusion surgery,UBE technology has the advantages of less blood loss,shorter bed rest time and shorter hospital stay,and reduces postoperative pain,and recovering faster.
Keywords：unilateral biportal endoscopydouble segment lumbar fusionposterior open fusionefficacy
Publication Date：2023-12-15
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 4258-4262 )