Meta analysis of operations under unilateral biportal endoscopy and uniportal endoscopy in the treat-ment of lumbar spinal stenosis
10.3969/j.issn.1004-406X.2024.10.10
- VernacularTitle:单侧双通道与单通道脊柱内镜下手术治疗腰椎管狭窄症的Meta分析
- Author:
Long AI
1
;
Jiang GAO
;
Xiangyu MENG
Author Information
1. 新疆医科大学第六附属医院微创脊柱外科 830002乌鲁木齐
- Keywords:
Lumbar spinal canal stenosis;
Unilateral biportal endoscopy;
Uniportal endoscopy;
Meta analysis
- From:
Chinese Journal of Spine and Spinal Cord
2024;34(10):1077-1086
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To compare the efficacies of operations under unilateral biportal endoscopy(UBE)and uniportal endoscopy(UE)in the treatment of lumbar spinal stenosis(LSS)with meta analysis.Methods:The clinical controlled studies of UBE and UE in the treatment of LSS were searched in PubMed,Cochrane Li-brary,Web of science,Embase,Medline,CNKI,Wanfang,and VIP database from their establishments to May 2024.Newcastle-Ottawa scale(NOS)was used to evaluate the quality of the included studies.Outcome data including visual analogue scale(VAS)score of lower back and leg pain,Oswestry disability index(ODI),opera-tive time,intraoperative blood loss,length of hospital stay,complications,and dural sac area were extracted and analyzed with Review Manager 5.3 software for meta analysis.Results:A total of 15 articles were in-cluded,including 1 prospective cohort study and 14 retrospective studies,which were of medium and high quality according to the NOS.The total sample size was 1277,including 650 patients in the UBE group and 627 patients in the UE group.Meta analysis showed that there was a statistical difference in the operative time between the two groups,and the UBE group was shorter[MD=-12.30,95％CI(-20.90,-3.71),P=0.005].There was a no statistically significant difference in intraoperative blood loss[MD=7.41,95％CI(-0.55,15.31),P=0.07],length of hospital stay[MD=0.02,95％CI(-0.09,0.14),P=0.71],postoperative back pain VAS score[MD=-0.22,95％CI(-0.45,0.02),P=0.07],postoperative leg pain VAS score[MD=-0.18,95％CI(0.39,0.02),P=0.08],ODI[MD=-0.91,95％CI(-2.22,0.39),P=0.17],complication rate[OR=0.75,95％CI(0.46,1.24),P=0.27],or preoperative dural sac cross-sectional area[MD=0.37,95％CI(-3.18,2.44),P=0.80]between the two groups.However,the dural sac area expansion after operation was statistically larger in UBE group than that in UE group[MD=-12.51,95％CI(7.44,17.59),P＜0.00001].Conclusions:Both operations under UBE and UE can achieve significant clinical efficacy in the treatment of LSS,and UBE is superior to UE in operative time and the degree of spinal canal decompression.
