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A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients

The clinical and radiological results before and after surgery were compared and analyzed for patients with multilevel lumbar stenosis who underwent bi-portal endoscopic spine surgery (BESS) and microscopic unilateral laminotomy for bilateral decompression (ULBD). We retrospectively identified 47 an...

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Autores principales: Eun, Dong-Chan, Lee, Yong-Ho, Park, Jin-Oh, Suk, Kyung-Soo, Kim, Hak-Sun, Moon, Seong-Hwan, Park, Si-Young, Lee, Byung-Ho, Park, Sang-Jun, Kwon, Ji-Won, Park, Sub-Ri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918291/
https://www.ncbi.nlm.nih.gov/pubmed/36769686
http://dx.doi.org/10.3390/jcm12031033
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author Eun, Dong-Chan
Lee, Yong-Ho
Park, Jin-Oh
Suk, Kyung-Soo
Kim, Hak-Sun
Moon, Seong-Hwan
Park, Si-Young
Lee, Byung-Ho
Park, Sang-Jun
Kwon, Ji-Won
Park, Sub-Ri
author_facet Eun, Dong-Chan
Lee, Yong-Ho
Park, Jin-Oh
Suk, Kyung-Soo
Kim, Hak-Sun
Moon, Seong-Hwan
Park, Si-Young
Lee, Byung-Ho
Park, Sang-Jun
Kwon, Ji-Won
Park, Sub-Ri
author_sort Eun, Dong-Chan
collection PubMed
description The clinical and radiological results before and after surgery were compared and analyzed for patients with multilevel lumbar stenosis who underwent bi-portal endoscopic spine surgery (BESS) and microscopic unilateral laminotomy for bilateral decompression (ULBD). We retrospectively identified 47 and 49 patients who underwent BESS and microscopic ULBD, respectively, who were diagnosed with multi-level lumbar stenosis. Clinical outcomes were evaluated using the visual analog scale score for both back and leg pain, and medication (pregabalin) use and Oswestry Disability Index (ODI) scores for overall treatment outcomes were used pre-operatively and at the final follow-up. Radiological outcomes were evaluated as the percentage of dura expansion volume, and percentage preservation of both facets and both lateral recess angles. The follow-up period of patients was about 17.04 months in the BESS group and about 16.90 months in the microscopic ULBD group. The back and leg visual analog scale (VAS) scores and average pregabalin use decreased more significantly in the BESS group than in the microscopic ULBD group (each p-value 0.0443, <0.001, 0.0378). All radiological outcomes were significantly higher in the BESS group than in the ULBD group. The change in ODI in two-level spinal stenosis showed a significantly higher value in the BESS group compared to the microscopic ULBD group (p-value 0.0335). Multilevel decompression with the BESS technique in multiple spinal stenosis is an adequate technique as it shows better clinical and radiological results than microscopic ULBD during a short-term follow-up period.
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spelling pubmed-99182912023-02-11 A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients Eun, Dong-Chan Lee, Yong-Ho Park, Jin-Oh Suk, Kyung-Soo Kim, Hak-Sun Moon, Seong-Hwan Park, Si-Young Lee, Byung-Ho Park, Sang-Jun Kwon, Ji-Won Park, Sub-Ri J Clin Med Article The clinical and radiological results before and after surgery were compared and analyzed for patients with multilevel lumbar stenosis who underwent bi-portal endoscopic spine surgery (BESS) and microscopic unilateral laminotomy for bilateral decompression (ULBD). We retrospectively identified 47 and 49 patients who underwent BESS and microscopic ULBD, respectively, who were diagnosed with multi-level lumbar stenosis. Clinical outcomes were evaluated using the visual analog scale score for both back and leg pain, and medication (pregabalin) use and Oswestry Disability Index (ODI) scores for overall treatment outcomes were used pre-operatively and at the final follow-up. Radiological outcomes were evaluated as the percentage of dura expansion volume, and percentage preservation of both facets and both lateral recess angles. The follow-up period of patients was about 17.04 months in the BESS group and about 16.90 months in the microscopic ULBD group. The back and leg visual analog scale (VAS) scores and average pregabalin use decreased more significantly in the BESS group than in the microscopic ULBD group (each p-value 0.0443, <0.001, 0.0378). All radiological outcomes were significantly higher in the BESS group than in the ULBD group. The change in ODI in two-level spinal stenosis showed a significantly higher value in the BESS group compared to the microscopic ULBD group (p-value 0.0335). Multilevel decompression with the BESS technique in multiple spinal stenosis is an adequate technique as it shows better clinical and radiological results than microscopic ULBD during a short-term follow-up period. MDPI 2023-01-29 /pmc/articles/PMC9918291/ /pubmed/36769686 http://dx.doi.org/10.3390/jcm12031033 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Eun, Dong-Chan
Lee, Yong-Ho
Park, Jin-Oh
Suk, Kyung-Soo
Kim, Hak-Sun
Moon, Seong-Hwan
Park, Si-Young
Lee, Byung-Ho
Park, Sang-Jun
Kwon, Ji-Won
Park, Sub-Ri
A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients
title A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients
title_full A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients
title_fullStr A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients
title_full_unstemmed A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients
title_short A Comparative Analysis of Bi-Portal Endoscopic Spine Surgery and Unilateral Laminotomy for Bilateral Decompression in Multilevel Lumbar Stenosis Patients
title_sort comparative analysis of bi-portal endoscopic spine surgery and unilateral laminotomy for bilateral decompression in multilevel lumbar stenosis patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918291/
https://www.ncbi.nlm.nih.gov/pubmed/36769686
http://dx.doi.org/10.3390/jcm12031033
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