Journal of Pain Research (Jun 2023)

A Comparative Study of Unilateral Biportal Endoscopic Decompression and Percutaneous Transforaminal Endoscopic Decompression for Geriatric Patients with Lumbar Lateral Recess Stenosis

  • Cheng X,
  • Wu Y,
  • Chen B,
  • Tang J

Journal volume & issue
Vol. Volume 16
pp. 2241 – 2249

Abstract

Read online

Xiaokang Cheng,1,2,* Yuxuan Wu,1,* Bin Chen,2 Jiagang Tang1 1Department of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, People’s Republic of China; 2Department of Orthopedics, The Affiliated Hospital of Chengde Medical University, Chengde, 067000, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jiagang Tang, Email [email protected]: The purpose of this research was to compare the efficacy of unilateral biportal endoscopic decompression (UBE) and percutaneous transforaminal endoscopic decompression (PTED) in the treatment of elderly patients with single-level lumbar lateral recess stenosis (LRS).Materials and Methods: Data from January 2020 to March 2022 were analyzed. Thirty-eight patients in the PTED group and thirty-nine patients in the UBE group completed the minimum 12-month follow-up. The demographic data and perioperative outcomes were reviewed. Clinical outcomes were evaluated using the VAS for back and leg pain, the Oswestry Disability Index (ODI), and the modified MacNab criteria.Results: Both groups of patients completed surgery and a one-year follow-up. There was no significant difference between the two groups in demographics data. UBE has the advantage in operative duration and X-ray time; as far as incision length, blood loss, and drainage volume are concerned, PTED is advantageous. Under the modified MacNab criteria, UBE exhibited a good-to-excellent rate similar to that of PTED (84.6% vs 81.6%, P> 0.05). There were no significant differences at any point in time between UBE and PTED with respect to ODI, VAS, or back pain scores (P> 0.05). UBE and PTED did not differ significantly in terms of complications.Conclusion: Both PTED and UBE achieved favorable outcomes in single-level LRS. For operative time and X-ray times, UBE is more advantageous, while PTED offers better estimates of blood loss, incision length, and drainage volume.Keywords: lateral recess stenosis, unilateral biportal endoscopic decompression, percutaneous transforaminal endoscopic decompression, endoscopic, minimally invasive surgery

Keywords