The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Endoscopic lumbar laminoplasty versus open decompression combined with internal fixation for treatment of lumbar degenerative disease

Author : WANG Qi, WANG Jue, YUAN Lian-jing, et al.     
Working unit : The First Affiliated Hospital, Zhengzhou University, Zhengzhou 450000, China
Page : 214-219
Key words : endoscopy, spinal stenosis, small incision, laminoplasty

  Abstract:

Objective

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.

Results

Compared 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.

Conclusion

Endoscopic technique for laminoplasty and pedicle screw fixation is a new kind of treatment for lumbar degenerative disease with high safety and reliable outcomes.


summary:
Endoscopic lumbar laminoplasty versus open decompression combined with internal fixation for treatment of lumbar degenerative disease   
WANG Qi, WANG Jue, YUAN Lian-jing, et al.
Orthop J Chin,2018,26(3):   214-219