Effect of transforaminal decompression in the treatment of lumbar spinal stenosis

Objective To discuss clinical effect of transforaminal decompression in the treatment of lumbar foraminal stenosis. Methods From September 2012 to May 2014, 84 patients diagnosed with intervertebral pass lumbar foraminal stenosis in Beijing Luhe Hospital Affiliated to Capital Medical University were selected as study objects and divided into control group and study group according to different surgical methods, with 42 patients in each group. Patients in control group received traditional decompression surgery, while those in study group were operated with percutaneous transforaminal endoscopic discectomy. Operation time, hospitalization time, intraoperative blood loss, incision pain score and ODI score between two groups were compared and analyzed. Results Operation time, hospitalization time, intraoperative blood loss, incision pain score, preoperative ODI score and postoperative ODI score in control group was(90.3 ±25.4) min,(9.3±3.4) d,(200.3±20.4) m L,(7.41±1.47) points,(31.68±9.26) points,(19.44±2.61) points respectively. Operation time, hospitalization time, intraoperative blood loss, incision pain score, preoperative ODI score and postoperative ODI score in study group was(60.3±15.4) min,(4.3±1.4) d,(12.6±5.6) m L,(2.08±1.03) points,(29.34±11.56) points,(11.05±3.59) points respectively. Compared with control group, study group had shorter operation time and hospitalization time, less intraoperative blood loss, lower incision pain score and postoperative ODI score, the differences were statistically significant(P 0.05). Conclusion Transforaminal decompression in the treatment of lumbar foraminal stenosis causes minor damage to the spinal stabilization structure, with less intraoperative blood loss, lighter pain and faster recovery, which has obivous application value.