Comparision of biportal endoscopic and microscopic decompression in treatment of lumbar spinal stenosis
Authors:
Open Access
- 24 July 2020
- journal article
- research article
- Published by Wolters Kluwer Health in Medicine
- Vol. 99 (30) , e21309
Abstract
Background: Microscopic bilateral decompression (MBD) has been suggested as an alternative to open laminectomy and fusion. Recently, percutaneous biportal endoscopic decompression (PBED) has begun to attract attention. The purpose of this retrospective study was to evaluate postoperative pain, functional disability, symptom reduction and satisfaction, and specific surgical parameters between the MBD and PBED techniques in patients with lumbar spinal stenosis (LSS). Methods: A retrospective review of LSS patients performed with MBD or PBED technique between May 2015 and June 2018 was conducted. Institutional review board approval in People's Hospital of Ningxia Hui Nationality Autonomous Region was obtained prior to conducting chart review and analysis. We received informed consent from all patients before surgery. The primary outcomes assessed were the preoperative to postoperative changes in leg/back pain and disability/function, patient satisfaction with the procedure, and postoperative quality of life. The secondary outcomes including duration of postoperative hospital stay, time to mobilization, postoperative analgesic use, complication rates, and baseline patient characteristics were prospectively collected. Results: The hypothesis was that the PBED technique would achieve better clinical outcomes as compared to the MBD technique in LSS.Keywords
Funding Information
- Key Research and development projects of Ningxia Hui Nationality Autonomous Region (2018BEG03046)
This publication has 31 references indexed in Scilit:
- Risk factors of degenerative lumbar scoliosis in patients with lumbar spinal canal stenosisMedicine, 2019
- Is biportal technique/endoscopic spinal surgery satisfactory for lumbar spinal stenosis patients?Medicine, 2019
- A Cost-Effectiveness Comparison Between Open Transforaminal and Minimally Invasive Lateral Lumbar Interbody Fusions Using the Incremental Cost-Effectiveness Ratio at 2-Year Follow-upNeurosurgery, 2016
- MIDTERM OUTCOME AFTER MICROENDOSCOPIC DECOMPRESSIVE LAMINOTOMY FOR LUMBAR SPINAL STENOSISNeurosurgery, 2009
- Clinical outcomes of microendoscopic decompressive laminotomy for degenerative lumbar spinal stenosisEuropean Spine Journal, 2009
- Midterm outcome after unilateral approach for bilateral decompression of lumbar spinal stenosis: 5-year prospective studyEuropean Spine Journal, 2007
- Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomyJournal of Neurosurgery: Spine, 2005
- Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor systemJournal of Neurosurgery: Spine, 2002
- Unilateral Laminectomy for Bilateral Decompression of Lumbar Spinal Stenosis: A Prospective Comparative Study with Conservatively Treated PatientsJournal of Spinal Disorders & Techniques, 2002
- Density of lumbar muscles 4 years after decompressive spinal surgeryEuropean Spine Journal, 1996