Background: This paper is to describe Unilateral biportal endoscopy (UBE) in the treatment of lumbar disc herniation with spinal stenosis and to investigate the efficacy and safety of unilateral biportal endoscopy in the treatment of this kind of lumbar disc herniation with spinal stenosis in elderly patients.
Method: Retrospective analysis of clinical and radiological data of patients receiving UBE or PEID treatment at the First People's Hospital of Yuhang District, Hangzhou, China, from July 2018 to June 2020 was performed.
Result: The operation time of the UBE group was better than that of the PEID group (P<0.05). Based on the comparative analysis between the two groups, both the ODI score and the pain index were not statistically significant (P>0.05) but the intra-group comparison before and after the treatment was statistically significant (P<0.05). No marked intraoperative and postoperative complications occurred in the UBE group. In the PEID group, one patient developed transient pain in the lower extremities 3 days after surgery, while another patient developed numbness and discomfort in the lower extremities. Both groups were treated conservatively and recovered. During the follow-up, there were no serious adverse events that required another operation.
Conclusion: UBE technology can achieve the same clinical effects as percutaneous endoscopic technology in the treatment of LDH with spinal stenosis. UBE technology is easy to apply during operation. For surgical instruments, UBE can not only use special instruments for endoscopes but also relaxes the conditions for application and use of open surgical instruments. During the operation, the operation is more effective and safe, and the learning curve is milder than that of the percutaneous endoscopic technique, which can be used as one of the options for surgical treatment of LDH and spinal stenosis in the future.