# Clinical effect of unilateral biportal minimally invasive surgery in the treatment of patients with spinal degenerative diseases based on intelligent multimodal reconstruction technology

## TL;DR

Using intelligent multimodal reconstruction technology in minimally invasive spinal surgery improves recovery and reduces complications in patients with spinal degenerative diseases.

## Contribution

This study demonstrates that intelligent multimodal reconstruction technology enhances outcomes in unilateral biportal spinal surgery.

## Key findings

- The observation group had shorter operation times, hospital stays, and less blood loss compared to the control group.
- The observation group showed lower pain scores and better lumbar function recovery post-surgery.
- Complication rates were significantly lower in the observation group using the intelligent reconstruction technology.

## Abstract

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.

A total of 100 patients with spinal degenerative diseases treated with unilateral biportal endoscopy during 2023–2024 in Orthopedics Center of our hospital were selected as research objects. Patients using intelligent multi-modal reconstruction technology were included as observation group, and patients not using intelligent multi-modal reconstruction technology were included as 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.

Compared to the control group, the observation group had shorter operation time, shorter length of hospital stay, less intraoperative blood loss, less postoperative drainage volume, less total blood loss, less hidden blood loss, higher hematocrit and higher hemoglobin level (p < 0.01). Relative to the control group, the observation group had lower incidence of complications (p < 0.05). Compared with 1 day after surgery, the Visual Analog Scale score and Oswestry Disability Index score in both groups were gradually declined at 5, 10, and 15 days after surgery (p < 0.05). Relative to the control group, the observation group had lower Visual Analog Scale score and Oswestry Disability Index score at 5, 10, and 15 days after surgery (p < 0.05). Compared with 1 day after surgery, the Japanese Orthopaedic Association score in both groups was gradually elevated at 5, 10, and 15 days after surgery (p < 0.05). Relative to the control group, the observation group had higher Japanese Orthopaedic Association score at 5, 10, and 15 days after surgery (p < 0.05). Compared with 1 month after surgery, the Visual Analog Scale score and Oswestry Disability Index score were gradually decreased while the Japanese Orthopaedic Association score was gradually elevated in both groups 3, 6 and 12 months after surgery (p < 0.05). Relative to the control group, the observation group had lower Visual Analog Scale score and Oswestry Disability Index score as well as higher Japanese Orthopaedic Association score 1, 3, 6 and 12 months after surgery (p < 0.05).

Unilateral biportal minimally invasive surgery based on intelligent multimodal reconstruction technology can accelerate the body recovery, reduce the incidence of complications, reduce the degree of pain and improve the lumbar function in the treatment of patients with spinal degenerative diseases.