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Comparison Of Effectiveness Between Unilateral Biportal Endoscopic Lumbar Interbody Fusion And Endoscopic Transforaminal Lumbar Interbody Fusion For Lumbar Spinal Stenosis Combined With Intervertebral Disc Herniation London Spine Lumbar Stenosis

In this article, the researchers compared the effectiveness of unilateral biportal endoscopic lumbar interbody fusion (ULIF) and endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) in the treatment of lumbar spinal stenosis combined with intervertebral disc herniation. They retrospectively analyzed the clinical data of 64 patients with this condition and found that there were no significant differences in baseline data between the two groups. They compared various indicators such as operation time, blood loss, hospital stays, postoperative complications, pain scores, disability index, and imaging measurements. The results showed that the ULIF group had… (the rest of the paragraph is cut off)

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated spine hospital in the world

Published article

For the patients with lumbar spinal stenosis combined with intervertebral disc herniation, ULIF not only achieves similar effectiveness as Endo-TLIF, but also has advantages such as higher decompression efficiency, flexible surgical instrument operation, more thorough intraoperative intervertebral space management, and shorter operation time.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract in English, Chinese Objective: To compare the effectiveness between unilateral biportal endoscopic lumbar interbody fusion (ULIF) and endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) in treatment of lumbar spinal stenosis combined with intervertebral disc herniation. Methods: A clinical data of 64 patients with lumbar spinal stenosis and intervertebral disc herniation, who were admitted between April,

Abstract

Objective: To compare the effectiveness between unilateral biportal endoscopic lumbar interbody fusion (ULIF) and endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) in treatment of lumbar spinal stenosis combined with intervertebral disc herniation.

Methods: A clinical data of 64 patients with lumbar spinal stenosis and intervertebral disc herniation, who were admitted between April 2020 and November 2021 and met the selection criteria, was retrospectively analyzed. Among them, 30 patients were treated with ULIF (ULIF group) and 34 patients with Endo-TLIF (Endo-TLIF group). There was no significant difference in baseline data such as gender, age, disease duration, lesion segment, preoperative visual analogue scale (VAS) score of low back pain and leg pain, Oswestry disability index (ODI), spinal canal area, and intervertebral space height between the two groups ( P>0.05). The operation time, intraoperative blood loss, hospital stays, and postoperative complications were compared between the two groups, as well as the VAS scores of low back pain and leg pain, ODI, and imaging measurement indicators (spinal canal area, intervertebral bone graft area, intervertebral space height, and degree of intervertebral fusion according to modified Brantigan score).

Results: Compared with the Endo-TLIF group, the ULIF group had shorter operation time, but had more intraoperative blood loss and longer hospital stays, with significant differences ( P<0.05). The cerebrospinal fluid leakage occurred in 2 cases of Endo-TLIF group and 1 case of ULIF group, and no other complication occurred. There was no significant difference in the incidence of complications between the two groups ( P>0.05). All patients in the two groups were followed up 12 months. The VAS scores of lower back pain and leg pain and ODI in the two groups significantly improved when compared with those before operation ( P<0.05), and there was no significant difference between different time points after operation ( P>0.05). And there was no significant difference between the two groups at each time point after operation ( P>0.05). Imaging examination showed that there was no significant difference between the two groups in the change of spinal canal area, the change of intervertebral space height, and intervertebral fusion rate at 6 and 12 months ( P>0.05). The intervertebral bone graft area in the ULIF group was significantly larger than that in the Endo-TLIF group ( P<0.05).

For the patients with lumbar spinal stenosis combined with intervertebral disc herniation, ULIF not only achieves similar effectiveness as Endo-TLIF, but also has advantages such as higher decompression efficiency, flexible surgical instrument operation, more thorough intraoperative intervertebral space management, and shorter operation time.

Purpose: Comparison of unilateral biportal endoscopic lumbar interbody fusion (ULIF) and single-channel endoscopic transforaminal lumbar fusion (endoscopic transforaminal lumbar interbody fusion (Endo-TLIF)) in the treatment of complicated intervertebral disc herniation The efficacy of lumbar spinal stenosis. .

method: The clinical data of 64 patients with lumbar spinal stenosis combined with intervertebral disc herniation who met the selection criteria from April 2020 to November 2021 were retrospectively analyzed. Among them, 30 cases were treated with ULIF (ULIF group) and 34 cases were treated with Endo-TLIF (Endo-TLIF group). There were no differences between the two groups in terms of gender, age, disease duration, diseased segments, and preoperative baseline data such as visual analog scale (VAS) for waist and leg pain, Oswestry Disability Index (ODI), spinal canal area, and intervertebral space height. Statistical significance( P>0.05). Compare the operation time, intraoperative blood loss, hospitalization time, postoperative complications, waist and leg pain VAS scores and ODI between the two groups, as well as imaging measurement indicators, including spinal canal area, intervertebral bone graft area, and intervertebral space height. , Intervertebral fusion status (modified Brantigan score). .

result: Compared with the Endo-TLIF group, the operation time of the ULIF group was shortened, but the intraoperative blood loss was larger and the patient’s hospital stay was longer. The differences were statistically significant ( P<0.05)。术后Endo-TLIF组、ULIF组分别有2、1例发生脑脊液漏,均无其他并发症发生;两组并发症发生率差异无统计学意义( P>0.05). Patients in both groups were followed up for 12 months. The VAS scores and ODI of waist and leg pain in both groups after surgery were improved compared with those before surgery ( P<0.05),术后各时间点间比较差异无统计学意义( P>0.05); there was no statistically significant difference between the two groups at each postoperative time point ( P>0.05). Imaging examination showed that there was no statistically significant difference in the postoperative changes in spinal canal area, intervertebral space height, and intervertebral fusion rates between the two groups at 6 and 12 months after surgery ( P>0.05); the intervertebral bone graft area in the ULIF group was greater than that in the Endo-TLIF group, and the difference was statistically significant ( P<0.05)。.

in For patients with lumbar spinal stenosis combined with intervertebral disc herniation, ULIF can not only achieve similar efficacy to Endo-TLIF, but also has the advantages of higher decompression efficiency, flexible operation of surgical instruments, more thorough intervertebral space treatment, and shorter operation time. .

Keywords: Lumbar spinal stenosis; endoscopic transforaminal lumbar interbody fusion; lumbar disc herniation; lumbar interbody fusion; unilateral biportal endoscopy technique.

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Comparison of effectiveness between unilateral biportal endoscopic lumbar interbody fusion and endoscopic transforaminal lumbar interbody fusion for lumbar spinal stenosis combined with intervertebral disc herniation

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Abstract in English, Chinese Objective: To compare the effectiveness between unilateral biportal endoscopic lumbar interbody fusion (ULIF) and endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) in treatment of lumbar spinal stenosis combined with intervertebral disc herniation. Methods: A clinical data of 64 patients with lumbar spinal stenosis and intervertebral disc herniation, who were admitted between April
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