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Comparison Of Effectiveness Between Unilateral Biportal Endoscopic And Uniportal Interlaminar Endoscopic Decompression In The Treatment Of Lumbar Spinal Stenosis London Spine Lumbar Stenosis

The article compares the effectiveness of unilateral laminotomy and bilateral decompression (ULBD) with unilateral biportal endoscopy (UBE) and uniportal interlaminar endoscopy (UIE) in treating lumbar spinal stenosis. A retrospective analysis of 52 patients with lumbar spinal stenosis who underwent ULBD showed no significant differences in various factors between the UBE and UIE groups. Perioperative and clinical indicators, as well as imaging outcomes, were compared between the two groups. The study aims to determine the superior treatment option for lumbar spinal stenosis based on these findings

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The London Spine Unit : innovative spine hospital in UK

Published article

ULBD with UBE and UIE can achieve satisfactory effectiveness in the treatment of lumbar spinal stenosis. But the former has more thorough decompression and better dural sac expansion than the latter.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract in English, Chinese Objective: To compare the effectiveness between unilateral laminotomy and bilateral decompression (ULBD) with unilateral biportal endoscopy (UBE) and uniportal interlaminar endoscopy (UIE) in the treatment of lumbar spinal stenosis. Methods: A clinical data of 52 patients with lumbar spinal stenosis, who met the selection criteria and treated with ULBD between March,

Abstract

Objective: To compare the effectiveness between unilateral laminotomy and bilateral decompression (ULBD) with unilateral biportal endoscopy (UBE) and uniportal interlaminar endoscopy (UIE) in the treatment of lumbar spinal stenosis.

Methods: A clinical data of 52 patients with lumbar spinal stenosis, who met the selection criteria and treated with ULBD between March 2021 and November 2022, was retrospectively analyzed. The patients were allocated into UBE group (23 cases) and UIE group (29 cases) according to the surgical methods. There was no significant difference ( P>0.05) in age, gender, body mass index, surgical segment, type of lumbar stenosis, and preoperative visual analogue scale (VAS) score of low back pain, VAS score of leg pain, Oswestry disability index (ODI), disc height, and dural sac area between the two groups. Perioperative indexes (incision length, operation time, hospital stay, and surgical complications), clinical indicators (VAS score of low back pain, VAS score of leg pain, and ODI before operation and at 3 days, 1 month, 6 months, and 12 months after operation), and imaging indicators (disc height and dural sac area before operation and at 1, 12 months after operation, and dural sac expansion area) were recorded and compared between the two group.

Results: All operations in both groups were successfully completed. Compared with the UIE group, the UBE group had shorter operation time and longer incision length, with significant differences ( P<0.05). But there was no significant difference in hospital stay and incidence of complications between the two groups ( P>0.05). All patients were followed up 12-20 months (mean, 14 months). The VAS scores of low back pain and leg pain and ODI after operation significantly improved when compared with preoperative values ( P<0.05), and there was no significant difference in the above indicators between different time points after operation ( P>0.05). There was no significant difference between the two groups at different time points ( P>0.05). Imaging examination showed that there was no significant difference in disc height between the two groups at different time points after operation ( P>0.05). However, the dural sac area and dural sac expansion area were significantly larger in the UBE group than in the UIE group ( P<0.05).

ULBD with UBE and UIE can achieve satisfactory effectiveness in the treatment of lumbar spinal stenosis. But the former has more thorough decompression and better dural sac expansion than the latter.

Purpose: Comparison of unilateral biportal endoscopy (UBE) technology and uniportal interlaminar endoscopy (UIE) technology for unilateral laminotomy and bilateral decompression (ULBD) treatment Efficacy of lumbar spinal stenosis. .

method: The clinical data of 52 patients with lumbar spinal stenosis who were treated from March 2021 to November 2022 and met the selection criteria were retrospectively analyzed. Among them, 23 cases underwent ULBD using UBE technology (UBE group) and 29 cases using UIE technology (UIE group). The age, gender composition, body mass index, surgical segment composition, type of lumbar stenosis, and preoperative low back pain visual analogue score (VAS), leg pain VAS score, Oswestry Disability Index (ODI), intervertebral disc height, and dura mater of the two groups of patients Compared with baseline data such as cyst area, the differences were not statistically significant ( P>0.05). Compare the perioperative indicators (operation time, incision length, hospitalization time, surgical complications) and clinical indicators (VAS scores and ODI for low back and leg pain before surgery and 3 days after surgery and 1, 6, and 12 months) between the two groups of patients. and imaging indicators (intervertebral disc height, dural sac area, and dural sac expansion area before surgery and 1 and 12 months after surgery). .

result: Both groups successfully completed the surgery. Compared with the UIE group, the UBE group had shorter operation time and longer incision length ( P<0.05),但两组住院时间及并发症发生率比较差异无统计学意义( P>0.05). All patients were followed up after surgery, and the follow-up time ranged from 12 to 20 months, with an average of 14 months. The VAS scores and ODI of waist and leg pain at each time point after surgery were improved compared with those before surgery ( P<0.05),上述指标术后各时间点间比较差异均无统计学意义( P>0.05); there was no statistically significant difference between the two groups at each postoperative time point ( P>0.05). Imaging review showed that there was no statistically significant difference in the intervertebral disc height between the two groups at each time point after surgery ( P>0.05); however, the dural sac area and dural sac expansion area in the UBE group were both better than those in the UIE group, and the difference was statistically significant ( P<0.05)。.

in Both UBE technology and UIE technology can achieve satisfactory results in the treatment of lumbar spinal stenosis using ULBD, but the former has more complete decompression and the expansion area of ​​the dural sac is better than the latter. .

Keywords: Lumbar spinal stenosis; unilateral biportal endoscopy; unilateral laminotomy and bilateral decompression; uniportal interlaminar endoscopy.

The London Spine Unit : innovative spine hospital in UK

Read the original publication:

Comparison of effectiveness between unilateral biportal endoscopic and uniportal interlaminar endoscopic decompression in the treatment of lumbar spinal stenosis

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Abstract in English, Chinese Objective: To compare the effectiveness between unilateral laminotomy and bilateral decompression (ULBD) with unilateral biportal endoscopy (UBE) and uniportal interlaminar endoscopy (UIE) in the treatment of lumbar spinal stenosis. Methods: A clinical data of 52 patients with lumbar spinal stenosis, who met the selection criteria and treated with ULBD between March

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data-settings="{"background_background":"classic"}" data-core-v316-plus="true"><div class="e-con-inner"><div data-particle_enable="false" data-particle-mobile-disabled="false" class="elementor-element elementor-element-2fa9986 e-con-full e-flex e-con e-child" data-id="2fa9986" data-element_type="container"><div class="elementor-element elementor-element-5341e35 elementor-widget elementor-widget-heading" data-id="5341e35" data-element_type="widget" data-widget_type="heading.default"><div class="elementor-widget-container"><h2 class="elementor-heading-title elementor-size-default">London Spine Unit © All rights reserved. <a style="margin-left:10px" href="https://www.londonspine.com/image-disclaimer/">Image Disclaimer </a></h2></div></div></div></div></div></div> <!-- Schema optimized by Schema Pro --><script type="application/ld+json">{"@context":"https://schema.org","@type":"Product","name":"Disc+ Spine Health 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