Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosis
Purpose To compare the wound healing, pain intensity and lumbar function in elderly patients with lumbar spinal stenosis after laminectomy decompression or percutaneous transforaminal endoscopic surgery.Methods A retrospective study was conducted on 65 patients who underwent laminotomy and 69 patien...
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2472865 |
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| author | Haiyang Zhu Yuan Liu Yijing Wang Denghui Xu Zhe Zhao Xuejian Wu |
| author_facet | Haiyang Zhu Yuan Liu Yijing Wang Denghui Xu Zhe Zhao Xuejian Wu |
| author_sort | Haiyang Zhu |
| collection | DOAJ |
| description | Purpose To compare the wound healing, pain intensity and lumbar function in elderly patients with lumbar spinal stenosis after laminectomy decompression or percutaneous transforaminal endoscopic surgery.Methods A retrospective study was conducted on 65 patients who underwent laminotomy and 69 patients who underwent percutaneous transforaminal endoscopic spinal decompression surgery. clinical data analysis, including surgical parameters, complications, postoperative wound healing, pain intensity, lumbar function, and correlation analysis, was performed.Results The operative time of percutaneous transforaminal endoscopic surgery was significantly shorter than that of laminotomy (70.78±6.80 min vs 128.97±4.70 min, p < 0.001), intraoperative blood loss was significantly reduced (94.22± 7.69ml vs 327.68± 6.44ml, p < 0.001), postoperative wound healing time and time to get out of bed were significantly shortened, pain was reduced by visual analog scale (3.48±1.11 vs 2.80±1.05, p = 0.007), the Japanese Orthopaedic Association (JOA) score was significantly increased, and the Oswestry Disability Index (ODI) score showed significantly decrease. The incidence of urinary tract infection and urinary retention was higher after laminotomy. Correlation analysis showed that operative time, intraoperative blood loss, and time to get out of bed were significantly related to prognosis in elderly patients.Conclusion Percutaneous transforaminal endoscopic surgery is significantly superior to conventional laminectomy decompression in the treatment of elderly lumbar spinal stenosis. |
| format | Article |
| id | doaj-art-e19026a7bea5401f8fbb45969c47ffa6 |
| institution | DOAJ |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
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| series | Annals of Medicine |
| spelling | doaj-art-e19026a7bea5401f8fbb45969c47ffa62025-08-20T03:05:29ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2472865Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosisHaiyang Zhu0Yuan Liu1Yijing Wang2Denghui Xu3Zhe Zhao4Xuejian Wu5Emergency Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaEmergency Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaImaging and Nuclear Medicine Ward, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaEmergency Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaEmergency Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaPurpose To compare the wound healing, pain intensity and lumbar function in elderly patients with lumbar spinal stenosis after laminectomy decompression or percutaneous transforaminal endoscopic surgery.Methods A retrospective study was conducted on 65 patients who underwent laminotomy and 69 patients who underwent percutaneous transforaminal endoscopic spinal decompression surgery. clinical data analysis, including surgical parameters, complications, postoperative wound healing, pain intensity, lumbar function, and correlation analysis, was performed.Results The operative time of percutaneous transforaminal endoscopic surgery was significantly shorter than that of laminotomy (70.78±6.80 min vs 128.97±4.70 min, p < 0.001), intraoperative blood loss was significantly reduced (94.22± 7.69ml vs 327.68± 6.44ml, p < 0.001), postoperative wound healing time and time to get out of bed were significantly shortened, pain was reduced by visual analog scale (3.48±1.11 vs 2.80±1.05, p = 0.007), the Japanese Orthopaedic Association (JOA) score was significantly increased, and the Oswestry Disability Index (ODI) score showed significantly decrease. The incidence of urinary tract infection and urinary retention was higher after laminotomy. Correlation analysis showed that operative time, intraoperative blood loss, and time to get out of bed were significantly related to prognosis in elderly patients.Conclusion Percutaneous transforaminal endoscopic surgery is significantly superior to conventional laminectomy decompression in the treatment of elderly lumbar spinal stenosis.https://www.tandfonline.com/doi/10.1080/07853890.2025.2472865Lumbar spinal stenosisdecompression by laminotomypercutaneous tansforaminal endoscopic surgerypostoperative wound healingpain intensitylumbar function |
| spellingShingle | Haiyang Zhu Yuan Liu Yijing Wang Denghui Xu Zhe Zhao Xuejian Wu Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosis Annals of Medicine Lumbar spinal stenosis decompression by laminotomy percutaneous tansforaminal endoscopic surgery postoperative wound healing pain intensity lumbar function |
| title | Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosis |
| title_full | Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosis |
| title_fullStr | Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosis |
| title_full_unstemmed | Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosis |
| title_short | Influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing, pain intensity, and lumbar function in elderly patients with lumbar spinal stenosis |
| title_sort | influence of decompression by laminotomy and percutaneous tansforaminal endoscopic surgery on postoperative wound healing pain intensity and lumbar function in elderly patients with lumbar spinal stenosis |
| topic | Lumbar spinal stenosis decompression by laminotomy percutaneous tansforaminal endoscopic surgery postoperative wound healing pain intensity lumbar function |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2472865 |
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