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Objective <p>To compare the clinical efficacy of percutaneous transforaminal endoscopy-assisted lumbar interbody fusion (PT-Endo-LIF) and posterior lumbar interbody fusion (PLIF) for degenerative lumbar spinal stenosis (DLSS).</p> Results <p>The observation group had lower Visual Analogue Scale(VAS) scores at postoperative 7 days, 1 month and 3 months. At 1 month postoperatively, its Oswestry Disability Index(ODI) and (Japanese Orthopaedic Association)JOA improvements were significantly superior (<i>p</i> &lt; 0.05); at 3 months, all score improvements were comparable between groups[VAS, ODI, JOA, Short-Form 36 Health Survey (SF-36)]. The observation group had longer operation time, but significantly less blood loss, shorter ambulation time and fewer complications.PT-Endo-LIF yields favorable short-term efficacy for DLSS, with 3-month efficacy similar to PLIF and fewer complications, facilitating faster postoperative recovery.</p>

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A retrospective case-control study: Comparison of the clinical efficacy of percutaneous transforaminal endoscopy-assisted lumbar fusion and traditional posterior decompression interbody fusion in the treatment of degenerative lumbar spinal stenosis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月7日

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  • Jie-Bin Huang,
  • Yin-Feng Guo,
  • Lei Pan,
  • Wei-Xiong Chen,
  • Bai-Yong Zhu,
  • Yu Lei,
  • Wei-Dong Jiao,
  • Li-Bin Zheng,
  • Cheng-Zhao Li,
  • Hou-Jun Xue

摘要

Objective

To compare the clinical efficacy of percutaneous transforaminal endoscopy-assisted lumbar interbody fusion (PT-Endo-LIF) and posterior lumbar interbody fusion (PLIF) for degenerative lumbar spinal stenosis (DLSS).

Results

The observation group had lower Visual Analogue Scale(VAS) scores at postoperative 7 days, 1 month and 3 months. At 1 month postoperatively, its Oswestry Disability Index(ODI) and (Japanese Orthopaedic Association)JOA improvements were significantly superior (p < 0.05); at 3 months, all score improvements were comparable between groups[VAS, ODI, JOA, Short-Form 36 Health Survey (SF-36)]. The observation group had longer operation time, but significantly less blood loss, shorter ambulation time and fewer complications.PT-Endo-LIF yields favorable short-term efficacy for DLSS, with 3-month efficacy similar to PLIF and fewer complications, facilitating faster postoperative recovery.