Abstract: Objective To analyze the clinical effect of routine rehabilitation combined with intensive hip training in the elderly patients after full spinal endoscopy. Methods Sixty patients with lumbar disc herniation undergoing full spinal endoscopic surgery from August 2021 to August 2022 were enrolled in this study. Among them, 28 patients in observation group were treated with routine rehabilitation and intensive hip training after operation, and 32 patients in control group were only treated with routine rehabilitation after surgery. The scores of visual analogue scale (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Society Scale (JOA) and Barthel index (BI) were recorded before and 3 months after surgery. Results The VAS scores of low back pain and lower extremity pain in both groups were all significantly relieved 3 months after surgery. The JOA score and BI in observation group were significantly higher than those in control group(P<0.05), and the ODI score in observation group was significantly lower than that in control group (P<0.05). Conclusions Routine rehabilitation combined with intensive hip training can improve the low back pain in the elderly patients receiving full spinal endoscopy and accelerate postoperative rehabilitation.

Key words: full spinal endoscopic surgery, lumbar muscle rehabilitation, hip muscle training, quality of life, rehabilitation assessment