A meta-analysis of the efficacies of visualized foraminoplasty vs traditional foraminoplasty under spinal endoscopy in the treatment of lumbar degenerative disease
10.3969/j.issn.1004-406X.2025.03.06
- VernacularTitle:脊柱内镜下可视化成形术与传统成形术治疗腰椎退行性疾病疗效比较的Meta分析
- Author:
Guo CHEN
1
;
Zhengjian YAN
Author Information
1. 重庆市铜梁区人民医院骨科 402560
- Publication Type:Journal Article
- Keywords:
Lumbar degenerative disease;
Percutaneous endoscopic lumbar discectomy;
Visualized foramino-plasty;
Meta-analysis
- From:
Chinese Journal of Spine and Spinal Cord
2025;35(3):266-274
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To systematically compare the clinical efficacies of visualized endoscopic foramino-plasty and traditional foraminoplasty in the treatment of degenerative lumbar diseases.Methods:Literature of clinical comparative studies of visualized foraminoplasty(visualized group)and traditional foraminoplasty(tradi-tional group)in the treatment of lumbar degenerative diseases were searched from the databases such as CN-KI,VIP,WANFANG DATA,and PubMed from the inception to December 2023.The Newcastle-Ottawa scale(NOS)was used to evaluate the quality of the included retrospective case-control studies,and the Cochrane Risk of Bias Tool was used to assess the risk of bias in the included prospective randomized controlled stud-ies.The main efficacy indicators of the two groups[operative time,C-arm fluoroscopy frequency,hospitalization time,complications,visual analogue scale(VAS)score,and Oswestry disability index(ODI)]were statistically analyzed.RevMan 5.3 software was used for Meta-analysis of the literature that met the inclusion criteria.Results:A total of 4 prospective studies and 12 retrospective studies were included.The NOS evaluation in-dicated that the retrospective studies were of medium to high quality,and the Cochrane risk of bias assess-ment showed a low risk of bias in the prospective studies.A total of 1,239 patients were included,with 642 in the visualized group and 597 in the traditional group.Meta-analysis results showed that the the visualized group had fewer C-arm X-ray fluoroscopies(MD=-8.16,95％CI:-10.06--6.27,P＜0.001)and shorter operative time(MD=-17.18,95％CI:-21.48--12.88,P＜0.001)compared to the traditional group.There were no statisti-cally significant differences between the two groups in terms of hospitalization time,VAS score,ODI improve-ment,or postoperative complications(P＞0.05).Conclusions:Both visualized endoscopic foraminoplasty and tra-ditional endoscopic foraminoplasty can achieve good clinical efficacies in the treatment of degenerative lumbar diseases.However,visualized endoscopic foraminoplasty has shorter operative time and fewer C-arm fluoro-scopies compared to traditional endoscopic foraminoplasty.
