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单侧双孔内镜减压与经皮椎间孔内镜减压治疗老年腰椎侧隐窝狭窄的对比研究
Authors Cheng X , Wu Y, Chen B, Tang J
Received 21 March 2023
Accepted for publication 15 June 2023
Published 30 June 2023 Volume 2023:16 Pages 2241—2249
DOI https://doi.org/10.2147/JPR.S413502
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Andrea Tinnirello
Purpose: The purpose of this research was to compare the efficacy of unilateral biportal endoscopic decompression (UBE) and percutaneous transforaminal endoscopic decompression (PTED) in the treatment of elderly patients with single-level lumbar lateral recess stenosis (LRS).
Materials and Methods: Data from January 2020 to March 2022 were analyzed. Thirty-eight patients in the PTED group and thirty-nine patients in the UBE group completed the minimum 12-month follow-up. The demographic data and perioperative outcomes were reviewed. Clinical outcomes were evaluated using the VAS for back and leg pain, the Oswestry Disability Index (ODI), and the modified MacNab criteria.
Results: Both groups of patients completed surgery and a one-year follow-up. There was no significant difference between the two groups in demographics data. UBE has the advantage in operative duration and X-ray time; as far as incision length, blood loss, and drainage volume are concerned, PTED is advantageous. Under the modified MacNab criteria, UBE exhibited a good-to-excellent rate similar to that of PTED (84.6% vs 81.6%, P> 0.05). There were no significant differences at any point in time between UBE and PTED with respect to ODI, VAS, or back pain scores (P> 0.05). UBE and PTED did not differ significantly in terms of complications.
Conclusion: Both PTED and UBE achieved favorable outcomes in single-level LRS. For operative time and X-ray times, UBE is more advantageous, while PTED offers better estimates of blood loss, incision length, and drainage volume.
Keywords: lateral recess stenosis, unilateral biportal endoscopic decompression, percutaneous transforaminal endoscopic decompression, endoscopic, minimally invasive surgery