Evaluation of the Use of Monopolar Low-Temperature Plasma Electrode in Lumbar Spinal Canal Expansion, Decompression, Bone Grafting, and Fusion Internal Fixation Surgery
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v4i3.1307
Abstract
Objective: This study aims to explore the therapeutic effects of using a monopolar low-temperature plasma electrode and a high-frequency electrotome during lumbar spinal canal expansion, decompression, bone grafting, and fusion internal fixation surgery. The study also investigates the impact of these techniques on inflammatory indicators and quality of life in patients. Methods: A total of 100 patients with lumbar spondylolisthesis treated between June (January) 2022 and July (March) 2023 were selected for this study. They were randomly divided into a control group and an observation group, with 50 cases in each group. Both groups underwent lumbar spinal canal expansion, decompression, bone grafting, and fusion internal fixation surgery. The control group used a high-frequency electrotome during surgery, while the observation group used a monopolar low-temperature plasma electrode. Surgical indicators (operation time, intraoperative blood loss), inflammatory indicators, pain levels, and quality of life were compared between the two groups. Results: The operation time in the observation group was shorter than that in the control group (P<0.05). Postoperative levels of TNF-α and CRP were lower in the observation group than in the control group (P<0.05). The observation group had lower VAS scores and higher SF-36 scores compared to the control group (P<0.05). Conclusion: The use of a monopolar low-temperature plasma electrode in lumbar spinal canal expansion, decompression, bone grafting, and fusion internal fixation surgery yields positive therapeutic outcomes. It effectively reduces operation time, alleviates patient's inflammatory responses and pain levels, aids in postoperative recovery, and enhances quality of life. These results suggest the potential for wider adoption.
Keywords
lumbar spinal canal expansion, decompression, bone grafting, and fusion internal fixation surgery, monopolar low-temperature plasma electrode, high-frequency electrotome, lumbar spondylolisthesis
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[3] Yu K, Sun Q, Zhang J, et al. Clinical effects of endoscopic pedicle screw insertion combined with dual-channel endoscopic interbody fusion and decompression in the treatment of early lumbar spinal canal stenosis and instability with lumbar spondylolisthesis. Chinese Medical Journal, 2022, 102(41): 3288-3294.
[4] Zhang X, Xu Y, Yan K, et al. Clinical observation of early clinical effects of oblique lateral lumbar interbody fusion combined with posterior percutaneous pedicle screw internal fixation in the treatment of single-segment lumbar spondylolisthesis. Journal of Clinical Military Medicine, 2021, 49(01): 19-24.
[5] Zhang X, Wang X, Liu K, et al. Clinical effects of pedicle screw internal fixation combined with posterior lateral bone fusion in the treatment of lumbar spondylolisthesis and its impact on postoperative pain and BFS score. Clinical Misdiagnosis & Mistreatment, 2020, 33(11): 69-74.
[6] Li Y, Zhang D, Bi J, et al. Treatment of lumbar spondylolisthesis with oblique lateral lumbar interbody fusion and lateral plate internal fixation. Journal of Binzhou Medical College, 2021, 44(03): 189-191.
[7] Liu B, Peng T, Zheng C. Clinical comparative study on the treatment of lumbar spondylolisthesis with pedicle screw internal fixation combined with intervertebral bone fusion and fusion cage bone grafting. Chinese Journal of Disability Medicine, 2020, 28(11): 42-43.
[8] Li Y. Animal experimental study of a novel low-temperature plasma surgical system (liver, spleen, vascular experiments) [Dissertation]. Chinese PLA Medical Academy, 2017.
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