To compare the outcome of endoscopic pedicle screw fixation and traditional open surgery on lumbar degenerative disease. Methods
From June 2016 to December 2016, 76 patients with degenerative lumbar
degenerative disease were randomly divided into the endoscopic and the
traditional groups. In the former 36 patients received decompression by
laminoplasty, combined with pedicle screw fixation using endoscopic
technique, while in the latter 40 patients underwent traditional
decompression and pedicle screw fixation using open technique. The
incision length, intraoperative blood loss, operation time and
postoperative bed rest were compared between the two groups. In
addition, the visual analogue scale (VAS) , the Oswestry Dysfunction
Index (ODI) and the Japanese Orthopedic Association (JOA) score were
used for evaluation of the consequences.
with the traditional Group, the endoscopic group had significantly
shortened operation incision, with less intraoperative blood loss, less
postoperative bed rest and considerably reduced recurrence rate of low
back pain (P<0.05) . However, no significant differences between the
two groups were noted in the operation time, the postoperative VAS
score, the JOA score, ODI score (P>0.05) . No severer complication
occurred in any patient in both groups.
Endoscopic technique for laminoplasty and pedicle screw fixation is a new kind of treatment for lumbar degenerative disease with high safety and reliable outcomes.