Spinal degenerative diseases
Conditions
Interventions
UNSES Group:Pedicle screw placement was performed using UNSES technology. With the patient positioned identically to the control group, a single 2-cm incision was made posterolaterally (3-4 cm from mi
Control group:Percutaneous pedicle screw placement was performed using conventional C-arm fluoroscopy. With the patient in the prone position and abdomen
Sponsors
The First Affiliated Hospital of Guangxi Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients requiring lumbar pedicle screw fixation. ??Inclusion criteria:?? (1) Patients with surgical indications (lumbar instability, spondylolisthesis, lumbar burst fracture, severe lumbar spinal stenosis, or lumbar spondylolysis); (2) Patients showing no improvement after >6 weeks of standardized conservative treatment.
Exclusion criteria
Exclusion criteria: ??Exclusion criteria:?? (1) Patients declining participation in this study; (2) Patients with prior lumbar spine surgery; (3) Severe femoral/sciatic neuropathy with motor deficits (potentially interfering with neurological assessment accuracy); (4) Severe cardiopulmonary compromise precluding safe surgical procedures; (5) Concurrent severe osteoporosis; (6) Significant coagulopathy; (7) Active malignancies; (8) Patients with developmental pedicle anomalies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy rate of screw placement;The number of fluoroscopy sessions during the operation;Intraoperative blood loss;Operation time; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS scores pre- and post-operation;ODI scores pre- and post-operation;Serum creatine kinase levels;Length of hospital stay; | — |
Countries
China
Contacts
Public ContactLiu Yun
Department of Spinal and Orthopedic Surgery, the First Affiliated Hospital of Guangxi Medical University
Outcome results
None listed