The Influence of Percutaneous Endoscopy-Assisted Transforaminal Lumbar Decompression and Fusion in the Treatment of Single-Level Lumbar Spinal Stenosis on Multifidus Muscle from the Perspective of Traditional Chinese Medicine

Abstract

Objective: To analyze the effect of percutaneous endoscopy assisted transforaminal lumbar spinal stenosis on multiissuis. Methods: Ten patients of single-segment lumbar spinal stenosis were selected from January 2020 to January 2021. All patients were treated with percutaneous endoscopic-assisted transforaminal lumbar decompression and fusion. Postoperative basic information was recorded, comparing efficacy related indicators before and after surgery, and lumbar polyfiis injury before and after surgery. Results: All patients completed the operation successfully, with no symptom aggravation or recurrence, and no serious complications. VAS score and VAS score of leg pain at 7d, March and June, and ODI level at 3 and June were significantly better than those before surgery, with P <0.05. In terms of patient serum CK level, postoperative 1d was significantly higher than preoperative, P <0.05, and no significant difference between postoperative 7d, P> 0.05. In Max-CSA, postoperative 7d was significantly greater than preoperative, P <0.05; no significant difference between postoperative March and June months compared with preoperative, P> 0.05. In terms of patient PI level, postoperative 7d was significantly greater than preoperative, with P <0.05, neither postoperative March nor June months were significant compared with preoperative difference, with P> 0.05. Conclusion: From the perspective of traditional Chinese medicine, the application of percutaneous endoscopy-assisted transforaminal lumbar decompression and fusion in the treatment of single segment lumbar spinal stenosis can achieve good early effect, and will not have a significant impact on the changes of polyfiis morphology and blood perfusion.