| Objective To compare the early clinical efficacy of endoscopic lumbar decompression and fusion and open lumbar decompression and fusion in the treatment of calcified lumbar disc herniation.Methods A retrospective analysis was conducted on 51 patients with single segment calcified lumbar disc herniation who underwent surgical treatment from January 2018 to October 2023 in People's Hospital of Nanjing Lishui District. Of these patients, 21 cases underwent traditional open lumbar decompression and fusion surgery (the open group), 30 cases underwent endoscopic lumbar decompression and fusion surgery (the endoscopic group). The incision sizes, surgical time, intraoperative blood loss, intraoperative fluoroscopy frequency, and hospital stay between the two groups, and the VAS scores before and after surgery, the ODI and JOA scores of the two groups before and after surgery at 6 and 12 months were compared. Twelve months after surgery, Bridwell fusion grading was used to compare the lumbar fusion rates between the two groups.Results All patients were followed up for 12-16 months, with an average of (13.71±2.36) months. The endoscopic group showed a decrease in incision size, intraoperative blood loss, length of hospital stay, and VAS score at 3 d after surgery compared to the open group, but the intraoperative fluoroscopy frequency was higher than that of the open group, and the surgery time was longer than that of the open group (P<0.05). However, there was no statistically significant difference in the angle of straight leg elevation between the two groups before and after surgery (P>0.05). The JOA scores and ODI scores of both groups of patients at 1, 3, and 12 months after surgery were better than those before surgery (P<0.05). The JOA and ODI scores of the endoscopic group were better than those of the open group at 1 month and 3 months after surgery (P<0.05), while there was no statistical difference in JOA and ODI scores between the two groups at 12 months after surgery (P>0.05). There was no statistically significant difference in lumbar fusion rate between the two groups 12 months after surgery (P>0.05).Conclusion In the treatment of calcified lumbar disc herniation, endoscopic lumbar decompression and fusion is a safe and effective minimally invasive treatment method compared to traditional open surgery. It has the advantages of minimal trauma, less bleeding, and faster recovery, and is a treatment plan worth promoting. |
