ORIGINAL RESEARCH article
Front. Med.
Sec. Translational Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1615699
Clinical effect of unilateral biportal minimally invasive surgery in the treatment of patients with spinal degenerative diseases based on intelligent multimodal reconstruction technology
Provisionally accepted
- Xinjiang Production and Construction Corps, Urumqi, China
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Objective: To explore the effect of unilateral biportal minimally invasive surgery in the treatment of patients with spinal degenerative diseases based on intelligent multimodal reconstruction technology.Methods: A total of 100 patients with spinal degenerative diseases treated with unilateral biportal endoscopy during 2023–2024 in the Orthopedics Center of our hospital were selected as research objects. Patients using intelligent multimodal reconstruction technology were included as the observation group, and those not using it were included as the control group. The length of hospital stay, operation time, intraoperative blood loss, postoperative drainage volume, total blood loss, hidden blood loss, hematocrit, hemoglobin level, incidence of complications, degree of pain, and lumbar function were assessed.Results: Compared to the control group, the observation group had shorter operation time, shorter hospital stay, less intraoperative blood loss, less postoperative drainage, less total and hidden blood loss, and higher hematocrit and hemoglobin levels (P<0.01). The observation group also had a lower incidence of complications (P<0.05). Compared with 1 day after surgery, the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) scores in both groups gradually declined at 5, 10, and 15 days after surgery (P<0.05). Relative to the control group, the observation group had lower VAS and ODI scores at those time points (P<0.05). Compared with 1 day after surgery, the Japanese Orthopaedic Association (JOA) score in both groups gradually increased at 5, 10, and 15 days after surgery (P<0.05). The observation group had higher JOA scores than the control group at those time points (P<0.05). Compared with 1 month after surgery, the VAS and ODI scores further decreased, and the JOA score increased in both groups at 3, 6, and 12 months (P<0.05). The observation group had lower VAS and ODI scores and higher JOA scores than the control group at 1, 3, 6, and 12 months (P<0.05).Conclusion: Unilateral biportal minimally invasive surgery based on intelligent multimodal reconstruction technology can accelerate recovery, reduce complications, alleviate pain, and improve lumbar function in patients with spinal degenerative diseases.
Keywords: spinal degenerative diseases, Unilateral biportal endoscopy, intelligent multimodal reconstruction technology, Lumbar function, Pain
Received: 21 Apr 2025; Accepted: 12 Jun 2025.
Copyright: © 2025 Sun, Wang, Ma, He, Wei and Si. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Chunming Si, Xinjiang Production and Construction Corps, Urumqi, China
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