Clinical effect analysis of laminectomy alone and laminectomy with instrumentation in the treatment of TOLF

Abstract Background To explore the clinical effect of laminectomy alone and with instrumentation in treatment TOLF. Methods A retrospective study was conducted on data 142 patients TOLF who underwent spine surgery at XXX Medical University from January 2003 to 2018. According whether combined instrumentation, were divided into two groups: group (laminectomy (LA), n = 77) B (LI), 65). Comparisons possible influencing factors demographic variables operation-related carried out between groups. In this study, effects LA LI discussed. Thus, we explored Results terms demographics, there a statistically significant difference BMI (P < 0.05). The differences age, sex, smoking, drinking, heart disease, hypertension diabetes not > preoperative symptoms, gait disturbance, pain LE, urination disorder 0.05), but no other groups variables, duration intramedullary signal change MRI, dural ossification, residual rate cross-sectional spinal canal area CT, shape sagittal operation time, pre-mJOA, post-mJOA 1 year, leakage cerebrospinal fluid average JOA score 6.37 that 5.19. A, 6 months, year 2 years after 7.87, 8.23 8.26, respectively, improvement 32.79 %, 38.32 38.53 respectively. B, 7.74, 8.15 8.29, 39.15 46.86 47.12 Conclusions Currently, is consensus needed for We found long disorder, CT less than 60 MRI being beak low, pre-mJOA had better as compared those LA, incidence perioperative complications lower.