Skip to main content

ORIGINAL RESEARCH article

Front. Surg.
Sec. Orthopedic Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1525843
This article is part of the Research Topic Minimally Invasive Treatments for Lumbar Spine Disorders View all articles

Clinical and Radiological Outcomes of Lumbar Endoscopic Decompression for Treating Lumbar Spinal Stenosis and Degenerative Lumbar Scoliosis: a retrospective study at mean 4.4 years follow-up

Provisionally accepted
Ning Fan Ning Fan Aobo Wang Aobo Wang Shuo Yuan Shuo Yuan Peng Du Peng Du Tianyi Wang Tianyi Wang Lei Zang Lei Zang *
  • Beijing Chaoyang Hospital, Capital Medical University, Beijing, China

The final, formatted version of the article will be published soon.

    Purpose: To assess the clinical and radiological outcomes of lumbar endoscopic decompression for the treatment of lumbar spinal stenosis (LSS) with concurrent degenerative lumbar scoliosis (DLS).Methods: This study retrospectively reviewed 97 patients with LSS and DLS who underwent lumbar endoscopic decompression between 2016 and 2021. The average follow-up duration was 52.9 months. Another 97 LSS patients without DLS were selected as the control group. The pre-and postoperative visual analog score (VAS) and the Oswestry disability index (ODI) were recorded and analyzed to compare clinical outcomes. Radiological findings, such as coronal balance and intervertebral disc height, have also been reported.Results: Both groups' mean VAS scores for back pain, leg pain, and ODI were significantly improved two weeks after surgery and at the final follow-up (p < 0.001). There was no significant difference in the prevalence of surgical complications or patient satisfaction rates. However, patients in the DLS group reported more severe back pain at the final follow-up than those in the LSS group (p = 0.039). Radiological follow-up revealed no significant deterioration in coronal imbalance or loss of disc height in either group.Lumbar endoscopic decompression can be a safe and effective surgical technique for treating LSS with DLS, particularly in elderly patients with poor general conditions.

    Keywords: Degenerative lumbar scoliosis, Lumbar spinal stenosis, Endoscopy, outcomes, complications

    Received: 10 Nov 2024; Accepted: 24 Dec 2024.

    Copyright: © 2024 Fan, Wang, Yuan, Du, Wang and Zang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Lei Zang, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.