Abstract:
STUDY DESIGN:Prospective clinical study. SUMMARY OF BACKGROUND DATA:To the authors knowledge, there are no previous prospective studies to test the feasibility of the unilateral biportal endoscopic (UBE) technique in management of lumbar canal stenosis. PURPOSE:The study was conducted to compare clinical results of the UBE technique with the tubular microendoscopic (TME) surgery for management of degenerative lumbar canal stenosis. METHODS:One hundred fifty-four cases of single level degenerative lumbar canal stenosis were randomly divided into 2 groups. Each group consisted of 77 cases: one group underwent UBE and the other TME. Clinical outcome was assessed periodically: early postoperative, at 1, 3, and every 6 months for 2 years. Clinical outcome assessment operatives included the Oswestry Disability Index (ODI), Zurich Claudication Questionnaire (ZCQ), and patient satisfaction using Modified Macnab Criteria (MMC). In addition, the admission period, operative time, and estimated blood loss were compared. RESULTS:In UBE cases, ODI and ZCQ were statistically superior to TME for all periods (P<0.05). For both approaches, values presented progressive improvement until the 24th month. Regarding ODI, UBE and TME had an 84% and 79% success rate, respectively. In ZCQ, UBE and TME had a 79% and 73% success rate, respectively, at the end of the 24th month. Regarding the MMC, UBE and TME had 63% and 29% excellent results, respectively. UBE also has shorter admission period (days: 1.11 vs. 1.28), operative time (minutes: 57.74 vs. 65.31), and less estimated blood loss (mL: 49.47 vs. 53.57). CONCLUSIONS:Given its demanding learning curve, UBE is considered an effective alternative to TME with a higher clinical success rate.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Aygun H,Abdulshafi Kdoi
10.1097/BSD.0000000000001122subject
Has Abstractpub_date
2021-01-15 00:00:00eissn
2380-0186issn
2380-0194pii
01933606-900000000-99066pub_type
杂志文章abstract:STUDY DESIGN:This was a systematic literature review. OBJECTIVE:The purpose of this systematic literature review was to aggregate all evidence characterizing the learning curve of instrumented minimally invasive surgery (MIS) techniques in spinal surgery and summarize what, if any, consideration has been given to surg...
journal_title:Clinical spine surgery
pub_type: 杂志文章
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journal_title:Clinical spine surgery
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journal_title:Clinical spine surgery
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journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
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journal_title:Clinical spine surgery
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更新日期:2020-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-09-25 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000541
更新日期:2018-10-01 00:00:00
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更新日期:2020-12-14 00:00:00
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