脊柱内镜在椎间盘不同疾病中的应用对比

Objective To explore the comparison of the application effects of spinal endoscopy in free spinal canal stenosis due to intervertebral disc protrusion and intervertebral foramen stenosis due to intervertebral foramen degeneration.Methods A total of 63 patients with intervertebral disc protrusion and free spinal stenosis from May 2021 to December 2025 were selected as the protrusion and free group.A total of 37 patients with intervertebral foramen degeneration and intervertebral foramen stenosis who were treated during this period were selected as the degeneration stenosis group.Both groups of patients were treated with spinal endoscopy,and the effects of the patients were evaluated 3 months after the operation.The Visual Analogue Scale(VAS) score,Oswestry Disability Index(ODI),lumbar spine Japanese Orthopaedic Association(JOA),imaging measurement results and the incidence of complications were compared between the two groups.Results After the intervention in both groups,the pain was relieved and the lumbar function was improved.There was no statistical difference in the JOA score between the two groups after the intervention(P>0.05).The VAS score of the free release group after intervention was lower than that of the degenerative stenosis group(P<0.05).The ODI score was higher than that of the degenerative stenosis group(P<0.05).The imaging measurement results of the two groups improved after the intervention.The spinal canal cross sectional area(CSA) of the free release group after intervention was higher than that of the degenerative stenosis group(P<0.05).The foraminal height(FH) and lateral recess(LR) were lower than those in the degenerative stenosis group(P<0.05).There was no statistical difference in the incidence of complications between the two groups(P>0.05).Conclusion Spinal endoscopy can achieve good results in patients with free spinal canal stenosis due to intervertebral disc protrusion and intervertebral foramen stenosis due to intervertebral foramen degeneration.The appropriate approach should be selected based on anatomical characteristics to achieve a good prognosis.