Abstract
OBJECTIVE
To evaluate the clinical outcomes of endoscopic lumbar interbody fusion in elderly patients with degenerative lumbar spondylolisthesis (DLS) and spinal stenosis.
STUDY DESIGN
A descriptive study. Place and Duration of the Study: Department of Orthopaedics, Baoding No.1 Hospital, Baoding, China, from June 2023 to June 2024.
METHODOLOGY
A descriptive review of 40 patients with single-segment DLS and spinal stenosis was carried out. Patients were classified into a control group and an observation group according to the surgical method. Perioperative indicators, pain measured using the Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) scores, and Japanese Orthopaedic Association (JOA) scores at 6 months postoperatively were used for efficacy evaluation based on the modified MacNab criteria. Lumbar MRI measured the dura mater cross-sectional area to assess the decompression effect. The t-test and chi-square (c²) test were employed to analyse the outcomes.
RESULTS
Incision length, blood loss, and hospital stay were significantly reduced in the observation group (p 0.05).
CONCLUSION
Spinal endoscopic surgery for elderly patients with degenerative spondylolisthesis combined with spinal stenosis has a definite therapeutic effect and has unique advantages in improving patients' symptoms and enhancing their quality of life.
KEY WORDS
Endoscopic spine, Elderly, Degenerative lumbar spondylolisthesis, Spinal stenosis, Clinical efficacy.