文献类型：期刊文献

英文题名：A retrospective comparative study of robot-assisted unilateral biportal endoscopic lumbar decompression and fusion surgery versus percutaneous endoscopic lumbar decompression and fusion surgery

作者：Liu, Yan dong[1];Deng, Qiang[2];Han, Li xia[2];Zhang, Kai dong[3];Zhang, Yan jun[2];Peng, Ran dong[4];Yang, Hai yun[1];Guo, Tie feng[2];Li, Jun jie[2];Chen, Bo[1];Tan, Sheng[1]

第一作者：Liu, Yan dong

通信作者：Deng, Q[1]

机构：[1]Gansu Univ Tradit Chinese Med, Grad Sch, Lanzhou, Gansu, Peoples R China;[2]Gansu Prov Hosp Tradit Chinese Med, Spinal Dis Diag & Treatment Ctr, Lanzhou 730050, Gansu, Peoples R China;[3]Lanzhou Orthoped Hosp Tradit Chinese Med, Lanzhou, Gansu, Peoples R China;[4]Gansu Prov Hosp Tradit Chinese Med, Osteomyelitis Dept, Lanzhou, Gansu, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Hosp Tradit Chinese Med, Spinal Dis Diag & Treatment Ctr, Lanzhou 730050, Gansu, Peoples R China.

年份：2024

卷号：103

期号：39

起止页码：e39664

外文期刊名：MEDICINE

收录：;Scopus(收录号：2-s2.0-85205275825);WOS:【SCI-EXPANDED(收录号:WOS:001322380900072)】；

基金：This work was supported by the National Natural Science Foundation of China (82060879); National Natural Science Foundation of China (82360947); Gansu Provincial Joint Research Fund (23JRRA1534); Key Talent Project of Gansu Province (2024-4); National Administration of Traditional Chinese Medicine High Level Key Discipline Construction Project of Traditional Chinese Medicine (Traditional Chinese Orthopedics and Traumatology Science) (203) and the Lanzhou Science and Technology Plan Project (2022-3-30).

语种：英文

外文关键词：clinical research; minimally invasive spinal surgery; robot; unilateral biportal endoscope; vertebral decompression fusion

摘要：The objective of this study is to illustrate the advantages of robot-assisted unilateral biportal endoscopy in lumbar decompression fusion and internal fixation surgery. According to the different surgical methods, we divided the 26 patients into 2 groups, robot-assisted unilateral biportal endoscopy for lumbar interbody fusion (R-ULIF) group and percutaneous endoscopic lumbar decompression and interbody fusion (Endo-LIF) group, with a 1:1 ratio. Gender, disease course, lesion site, fluoroscopy times, operative time, blood loss, postoperative hospital stay, screw placement success rate, fusion rate, complications rate, postoperative pain visual analog scale (VAS) (The VAS score is used only to evaluate pain in the lower back and legs.) Oswestry Disability Index (ODI) (The ODI score can serve as a reference indicator for evaluating the effectiveness of treatment for patients with low back pain, and has good responsiveness in assessing patients with chronic low back pain), and MacNab (The MacNab standard is divided into 4 levels: excellent, good, fair, and poor, which can be used to evaluate the therapeutic efficacy of certain spinal surgeries) standard efficacy evaluation were analyzed and compared between the 2 groups. All patients successfully completed the surgery. Compared with the Endo-LIF group, the R-ULIF group had fewer fluoroscopy procedures, less intraoperative blood loss, and shorter postoperative hospital stay (P < .05). The VAS scores and ODI scores of both groups significantly decreased at all-time points (P < .05). The ODI scores of the R-ULIF group were better than the Endo-LIF group at 1 month and 3 months after surgery (P = .017/P = .047), but there was no statistically significant difference between the groups before surgery and 1 week after surgery (P > .05). The efficacy was evaluated using the MacNab criteria at 6 months after surgery. The R-ULIF group has an excellent and good rate of 84.6%, while the Endo-LIF group has an excellent and good rate of 76.9% (P = 1.000). Robot-assisted unilateral biportal endoscopy for lumbar interbody and fusion surgery has shown short-term clinical efficacy in the treatment of lumbar disc herniation combined with lumbar instability, surpassing endoscopic lumbar interbody fusion surgery. Robot-assisted unilateral biportal endoscopy for lumbar interbody and fusion surgery has demonstrated high success rate in screw placement, minimal radiation exposure, less intraoperative blood loss, shorter hospital stay, and thus deserves further clinical promotion.