Short-term curative effect evaluation of unilateral biportal endoscopy through Sublamina approach for lumbar intervertebral foramen stenosis combined with lumbar disc herniation
- VernacularTitle:单侧双通道脊柱内镜下Sublamina入路治疗腰椎间盘突出症合并椎管狭窄的短期疗效
- Author:
Liqi RUAN
1
;
Huiguo CHEN
;
Ling WANG
;
Wei ZHANG
;
Hao PAN
;
Jintao HU
Author Information
- Keywords: unilateral biportal endoscopy(UBE); Sublamina approach; spinal stenosis; lumbar disc herniation; foramen stenosis
- From: China Journal of Endoscopy 2024;30(1):79-84
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the efficacy of unilateral biportal endoscopy(UBE)for lumbar intervertebral foramen stenosis combined with lumbar disc herniation through Sublamina approach.Methods From October 2021 to June 2022,7 elderly patients with typical symptoms of lumbar disc herniation in the intervertebral foramen area accompanied by spinal stenosis were retrospectively analyzed.There were 6 patients with lumbar disc herniation and nerve root canal stenosis at L4/5 and 1 patient at L5/S1.The mean course of disease was(8.6±2.5)months.All the patients were treated by UBE through Sublamina approach.Results Postoperative limb radicular symptoms of 7 patients were relieved.The visual analogue scale(VAS)of limb pain was significantly decreased from preoperative(8.6±1.3)to(2.1±1.1)at 2 d after the surgery(P<0.05),the Japanese Orthopaedic Association(JOA)score was significantly increased from preoperative(10.1±2.4)to(17.3±1.8)at 2 d after the surgery(P<0.05).Conclusion UBE for lumbar intervertebral foramen stenosis combined with lumbar disc herniation through Sublamina approach has a satisfactory therapeutic effect,providing a new idea for the surgical treatment of this disease.
