关键词: 显微内镜, 微创, 经椎间孔腰椎椎体间融合术, 退变性腰椎滑脱症, 疗效

Abstract: Objective To investigate the clinical efficacy of endoscopic assisted minimally invasive trans foraminal lumbar interbody fusion (MIS-TLIF) and traditional open TLIF in the treatment of senile degenerative spondylolisthesis. Methods From January 2020 to March 2021, 100 elderly patients with degenerative spondylolisthesis were selected and divided into MIS-TLIF group and TLIF group according to the surgical method,with 50 cases in each group.The preoperative and postoperative VAS,Japanese 0rthopedic Association score (JOA) and Oswestry disability index (ODI),and the rate of interbody fusion and the incidence of complications were compared and analyzed between the two groups. Results In MIS-TLIF group, the operative time, intraoperative blood loss, incision length, postoperative drainage volume and hospital stay were (167.5±54.2) minutes, (173.8±47.1) ml, (3.5±0.7) cm, (69.6±16.3) ml, and (8.3±2.7) days, respectively.In the TLIF group, it was (136.3±38.9) minutes, (281.0±50.3) ml, (10.0±2.1) cm, (148.4±28.2) ml, and (11.2±3.1) days, respectively.The difference between the two groups was statistically significant(P<0.05).The VAS, JOA and ODI scores of MIS-TLIF group were (2.17±0.62)points, (21.72±3.14)points and (13.22±2.43)points, respectively.The results in TLIF group were (3.24±1.06) points, (17.06±2.85) points and (16.83±2.87) points, respectively, and there was statistical significance between the two groups (P<0.05).There was no significant difference in the rate of interbody fusion between the two groups at 12 months after operation (P>0.05).The incidence of postoperative complications in MIS-TLIF group(8.00%) was significantly lower than that in TLIF group(24.00%,P<0.05). Conclusion MIS-TLIF assisted by endoscope has the advantages of less trauma,faster recovery and less postoperative complications,and the short-term curative effect is more satisfactory than TLIF.

Key words: microscope, minimally invasive, transforaminal lumbar interbody fusion, senile degenerative spondylolisthesis, effect