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已发表论文
单侧双通道内镜下减压术治疗腰椎融合术后相邻节段病变的早期疗效
Authors Pi W, Ye L, Gong B, Liu Y, Liu W, Chen H , Zhao H
Received 9 August 2025
Accepted for publication 21 November 2025
Published 28 November 2025 Volume 2025:18 Pages 6371—6379
DOI https://doi.org/10.2147/JPR.S559657
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Andrea Tinnirello
Wensen Pi,1,2 Lei Ye,3 Boya Gong,1 Yang Liu,1 Wenjun Liu,1,2 Haidan Chen,1,2 Hongwei Zhao1,2
1Department of Spine Surgery of Yichang Central People’s Hospital, First Clinical Medical College of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China; 2Hubei Provincial Clinical Research Center for Elderly Osteoporotic Fractures, Yichang, Hubei, 443000, People’s Republic of China; 3Department of Ophthalmology of Yichang Central People’s Hospital, First Clinical Medical College of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China
Correspondence: Wenjun Liu, Department of Spine Surgery of Yichang Central People’s Hospital, First Clinical Medical College of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China, Tel/Fax +86 07176488865, Email 544820401@qq.com
Purpose: To study the early curative effect of unilateral biportal endoscopy (UBE) in the treatment of adjacent segment disease after lumbar interbody fusion.
Methods: A retrospective analysis of clinical data from 58 patients diagnosed with adjacent segment disease subsequent to lumbar fusion surgery who were treated using the UBE technique between June 2019 and June 2024 at our institution was conducted. The patients’ operation time, intraoperative bleeding, postoperative hospitalization time, and the occurrence of complications were recorded. The visual analogue scale (VAS) for pain, the Japanese Orthopaedic Association (JOA) score, and the Oswestry Dysfunction Index (ODI) for lumbar function were utilised before and after surgery, and the MacNab criteria were employed to evaluate the patient’s outcome at six months after surgery.
Results: The operation time was between 55 and 189 minutes, mean 102.64 minutes, the postoperative drainage flow was between 10 and 110 mL mean 47.81 mL, and the length of hospital stay between 5 and 14 days, mean 9.41 days. VAS scores of pain decreased over time and the ODI index was consistently lower than preoperative at all stages of the postoperative period. JOA scores increased gradually at all postoperative times. All indexes differed statistically at all times (P< 0.05). Surgical efficacy was excellent in 93.1% of cases at 6 months.
Conclusion: The UBE technique is an alternative surgical procedure for the treatment of adjacent segment disease after lumbar fusion, under strict control of the indications.
Keywords: unilateral biportal endoscopic, adjacent segment disease, spine endoscopy, lumbar interbody fusion
1Department of Spine Surgery of Yichang Central People’s Hospital, First Clinical Medical College of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China; 2Hubei Provincial Clinical Research Center for Elderly Osteoporotic Fractures, Yichang, Hubei, 443000, People’s Republic of China; 3Department of Ophthalmology of Yichang Central People’s Hospital, First Clinical Medical College of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China
Correspondence: Wenjun Liu, Department of Spine Surgery of Yichang Central People’s Hospital, First Clinical Medical College of China Three Gorges University, Yichang, Hubei, 443000, People’s Republic of China, Tel/Fax +86 07176488865, Email 544820401@qq.com
Purpose: To study the early curative effect of unilateral biportal endoscopy (UBE) in the treatment of adjacent segment disease after lumbar interbody fusion.
Methods: A retrospective analysis of clinical data from 58 patients diagnosed with adjacent segment disease subsequent to lumbar fusion surgery who were treated using the UBE technique between June 2019 and June 2024 at our institution was conducted. The patients’ operation time, intraoperative bleeding, postoperative hospitalization time, and the occurrence of complications were recorded. The visual analogue scale (VAS) for pain, the Japanese Orthopaedic Association (JOA) score, and the Oswestry Dysfunction Index (ODI) for lumbar function were utilised before and after surgery, and the MacNab criteria were employed to evaluate the patient’s outcome at six months after surgery.
Results: The operation time was between 55 and 189 minutes, mean 102.64 minutes, the postoperative drainage flow was between 10 and 110 mL mean 47.81 mL, and the length of hospital stay between 5 and 14 days, mean 9.41 days. VAS scores of pain decreased over time and the ODI index was consistently lower than preoperative at all stages of the postoperative period. JOA scores increased gradually at all postoperative times. All indexes differed statistically at all times (P< 0.05). Surgical efficacy was excellent in 93.1% of cases at 6 months.
Conclusion: The UBE technique is an alternative surgical procedure for the treatment of adjacent segment disease after lumbar fusion, under strict control of the indications.
Keywords: unilateral biportal endoscopic, adjacent segment disease, spine endoscopy, lumbar interbody fusion