Clinical Efficacy of V-Shaped Double-channel Spinal Endoscopic Technique （VBE） in Patients with LDH and Lumbar Instability

Tinghuan HU; Zhihua WANG; Shuanglin ZHAO; Furui LIU; Liqiong CHEN; Yiwen YUAN; Fangjing CHEN; Yunshan FAN; Jianyi YANG

doi:10.12259/j.issn.2095-610X.S20240814

Volume 45 Issue 8

Aug. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(8): 93-100

Tinghuan HU, Zhihua WANG, Shuanglin ZHAO, Furui LIU, Liqiong CHEN, Yiwen YUAN, Fangjing CHEN, Yunshan FAN, Jianyi YANG. Clinical Efficacy of V-Shaped Double-channel Spinal Endoscopic Technique （VBE） in Patients with LDH and Lumbar Instability[J]. Journal of Kunming Medical University, 2024, 45(8): 93-100. doi: 10.12259/j.issn.2095-610X.S20240814

Citation:

Tinghuan HU, Zhihua WANG, Shuanglin ZHAO, Furui LIU, Liqiong CHEN, Yiwen YUAN, Fangjing CHEN, Yunshan FAN, Jianyi YANG. Clinical Efficacy of V-Shaped Double-channel Spinal Endoscopic Technique （VBE） in Patients with LDH and Lumbar Instability[J]. Journal of Kunming Medical University, 2024, 45(8): 93-100. doi: 10.12259/j.issn.2095-610X.S20240814

Citation:

Tinghuan HU, Zhihua WANG, Shuanglin ZHAO, Furui LIU, Liqiong CHEN, Yiwen YUAN, Fangjing CHEN, Yunshan FAN, Jianyi YANG. Clinical Efficacy of V-Shaped Double-channel Spinal Endoscopic Technique （VBE） in Patients with LDH and Lumbar Instability[J]. Journal of Kunming Medical University, 2024, 45(8): 93-100. doi: 10.12259/j.issn.2095-610X.S20240814

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Clinical Efficacy of V-Shaped Double-channel Spinal Endoscopic Technique （VBE） in Patients with LDH and Lumbar Instability

doi: 10.12259/j.issn.2095-610X.S20240814

1.
Dept. of Orthopedics，Guandu District People’s Hospital of Kunming，Kunming Yunnan 650211
2.
Dept. of Orthopedics and Trauma，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032
3.
Dept. of Orthopedics，Wenshan People’s Hospital，Wenshan Yunnan 663000
4.
Dept. of Pediatrics，Kunming Guandu District People’s Hospital，Kunming Yunnan 650211
5.
Dept. of Spinal Surgery，Shanghai 10th People’s Hospital，Shanghai 200072
6.
Dept. of Spinal Surgery，The 10th People’s Hospital Affiliated to Tongji University，Shanghai 200072，China

Received Date: 2024-03-29
Available Online: 2024-07-06
Publish Date: 2024-08-05

Abstract

Abstract

Objective To compare the effectiveness of V-shaped double-channel spine endoscope technology （VBE） in treating lumbar disc herniation （LDH） with lumbar instability with traditional transforaminal lumbar interbody fusion （TLIF）. Methods From January 2021 to March 2023, 102 patients with LDH and lumbar instability admitted to the People's Hospital of Guandu District, Kunming City, and the Tenth People's Hospital of Shanghai were selected. They were randomly divided into two groups using random grouping software: the TLIF group （undergoing TLIF surgery, n = 51） and the VBE group （undergoing VBE surgery, n = 51）. The two groups were compared in terms of general surgical conditions, perioperative pain levels （VAS scores）, pre- and postoperative levels of back and leg pain （VAS scores）, lumbar spine stability （intervertebral height, lumbar lordosis angle）, decompression effect （cross-sectional area of the dural sac, intervertebral foramina area）, functional prognosis, and complication status. Results In the VBE group, the amount of bleeding during the surgery was less than in the TLIF group, with shorter incision length, bed rest time, and hospital stay compared to the TLIF group （P < 0.05）. VAS scores at 6 hours, 12 hours, 24 hours, 48 hours, and 72 hours post-operation were lower in the VBE group compared to the TLIF group （P < 0.05）. VAS scores for lower back pain and leg pain at 3 and 6 months post-operation, as well as intervertebral height, lumbar lordosis angle, dural sac cross-sectional area, and intervertebral foramen area at 6 months post-operation were higher than pre-operation levels in both groups, but the inter-group differences were not statistically significant （P > 0.05）. Comparison of the excellent-to-good functional prognosis rates between the two groups （98.04%, 94.12%） showed no statistically significant difference （P > 0.05）. no complications occurred in the VBE group, while one case of incision exudation occurred in the TLIF group. Conclusion VBE and TLIF treatment for LDH with lumbar instability patients can enhance lumbar stability, improve patients' lumbar function, ensure safety, while VBE with a small incision can reduce intraoperative bleeding, decrease early postoperative pain, and speed up early recovery.
- Lumbar disc herniation,
- Lumbar spine instability,
- V-shaped double-channel spinal endoscopy,
- Transforaminal interbody fusion,
- Lumbar stability,
- Degree of pain,
- Decompression effect,
- Prognosis

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