Percutaneous Endoscopic Posterior Lumbar Interbody Fusion with Unilateral Laminotomy for Bilateral Decompression Vs. Open Posterior Lumbar Interbody Fusion for the Treatment of Lumbar Spondylolisthesis

Frontiers in Surgery

article

Li-Ming He¹  Jia-Rui Li¹  Hao-Ran Wu¹  Qiang Chang¹  Xiao-Ming Guan¹  Zhuo Ma¹  Hao-Yu Feng¹ 

[1] Department of Orthopaedic Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences;Department of Orthopaedic Surgery, Third Hospital of Shanxi Medical University;Department of Orthopaedic Surgery, Tongji Shanxi Hospital

关键词: unilateral laminotomy for bilateral decompression;    percutaneous endoscopy;    posterior lumbar interbody fusion;    lumbar spondylolisthesis;    lumbar spinal stenosis;   

DOI  :  10.3389/fsurg.2022.915522

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Endoscopic lumbar interbody fusion is a new technology that is mostly used for single-segment and unilateral lumbar spine surgery. The purpose of this study is to introduce percutaneous endoscopic posterior lumbar interbody fusion (PE-PLIF) with unilateral laminotomy for bilateral decompression (ULBD) for lumbar spondylolisthesis and evaluate the efficacy by comparing it with open posterior lumbar interbody fusion (PLIF). Methods Twenty-eight patients were enrolled in PE-PLIF with the ULBD group and the open PLIF group. The perioperative data of the two groups were compared to evaluate the safety of PE-PLIF with ULBD. The visual analog scale (VAS) back pain, VAS leg pain, and Oswestry Disability Index (ODI) scores of the two groups preoperatively and postoperatively were compared to evaluate clinical efficacy. Preoperative and postoperative imaging data were collected to evaluate the effectiveness of the operation. Results No differences in baseline data were found between the two groups ( p  > 0.05). The operation time in PE-PLIF with the ULBD group (221.2 ± 32.9 min) was significantly longer than that in the PLIF group (138.4 ± 25.7 min) ( p   0.05). The fusion rates in PE-PLIF with the ULBD group and the PLIF group were 89.3% and 92.9% ( p  > 0.05), respectively, the cage subsidence rates were 14.3% and 17.9% ( p  > 0.05), respectively, and the lumbar spondylolisthesis reduction rates were 92.72 ± 6.39% and 93.54 ± 5.21%, respectively ( p  > 0.05). Conclusion The results from this study indicate that ULBD can be successfully performed during PE-PLIF, and the combined procedure is a safe and reliable treatment method for lumbar spondylolisthesis.

【 授权许可】

CC BY