Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results

Heo, Dong Hwa; Son, Sang Kyu; Eum, Jin Hwa; Park, Choon Keun

doi:10.3171/2017.5.focus17146

Cited by 219 publications

(219 citation statements)

References 14 publications

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“…[10] Bleeding from endplate is the sign of complete endplate preparation. [5,9,18] In order to see bony bleeding with other procedure such as conventional MIS-TLIF, open TLIF, OLIF, and ALIF are usually impossible due to limited working space. We usually just feel using the reamer whether it is already the endplate yet.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Biportal Endoscopic Lumbar Interbody Fusion. Technical Note and Surgical Comparison with Conventional MIS TLIF.

Gatam¹,

Luthfi²,

Mahadhipta³

et al. 2020

Preprint

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Backgrounds : Minimally invasive surgery develops very extensively in past few decades, not only in the scope of decompression but until fusion surgery. Surgeon has been trying to reduce the damage to the normal anatomical structure. In this study we performed unilateral biportal endoscopic lumbar interbody fusion (ULIF) as one of the fusion option which is readily available without sophisticated minimal invasive instrument. The purpose of this study is to introduce unilateral biportal endoscopic surgery and comparing the result with conventional minimal invasive lumbar interbody fusion (MIS-TLIF) Methods : This is a retrospective cohort study of 145 lumbar spondylolisthesis patient underwent conventional MIS-TLIF or ULIF procedure. All patient were followed up until 12 months to evaluate the VAS of back pain and leg pain, ODI, SF-36 and fusion rate. Results : Back pain VAS were a little higher compared with the endoscopic group, but the VAS of leg pain were the same. Both group had improvement in ODI score and SF-36 which shows both of the procedure were quite effective in managing such cases. Conclusion : Full endoscopic fusion offer benefit of minimal invasive surgery with better visualization of decompression and endplate preparation. Long term follow up is still needed to evaluate the result of the procedure.

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Section: Discussionmentioning

confidence: 99%

Unilateral Biportal Endoscopic Lumbar Interbody Fusion. Technical Note and Surgical Comparison with Conventional MIS TLIF.

Gatam¹,

Luthfi²,

Mahadhipta³

et al. 2020

Preprint

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“…The working cannula was then replaced with a custommade working sheath (16-20 mm outer diameter) so a cage could be implanted. Heo DH et al [14] used two channels (an endoscopic portal and a working portal) to perform an endoscopic lumbar fusion surgery. In this case, an ipsilateral facetectomy and partial hemilaminectomy were performed to create su cient space to operate.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous endoscopic posterior lumbar interbody fusion(PEPLIF): technical note

He¹,

Feng²,

Ma³

et al. 2020

Preprint

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Background: Endoscopic lumbar interbody fusion is based on endoscopic lumbar discectomy, a well-established and widely used clinical procedure. Endoscopic lumbar interbody fusion has several key advantages over other types of procedures, including that it is minimally invasive, more precise, safer, and provides better visualization. Most surgeons use the transforaminal approach for this surgery. Here, we report the first percutaneous endoscopic posterior lumbar interbody fusion (PEPLIF). Methods: The authors introduce the PEPLIF technique with step by step instructions and describe key procedures in detail. Tips for controlling hemorrhages and avoiding complications during the procedure are presented. The authors also discuss the indications and advantages of applying the PEPLIF technique.Results: PEPLIF is a repeatable lumbar fusion technique.Conclusions: PEPLIF is a feasible and effective technique for the fusion of L4-5 and L5-S1 (especially L5-S1). All procedures are completed in full using endoscopy without replacing the cannula. The endoscopic view is similar to that of an open posterior lumbar interbody fusion, thus reducing the learning curve.

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“…The pedicle screw insertion in ELIF was also a minimally invasive by percutaneous techniques, it preserved the musculotendinous attachments and the integrity of lumbar fascia. [14] Mandy studies comparing traditional TLIF to PLIF showed equal or better results with the transforaminal approach. Sufficient decompression with no retraction on the nerve ganglion, less postoperative pain and earlier functional recovery were the major advantages of the transforaminal approach.…”

Section: Introductionmentioning

confidence: 97%

“…[5,15] With lumbar spine techniques development, the procedures of nerve decompression and interbody fusion was completed with maintain the facet intact, pedicle screw was placement by minimally invasive percutaneous techniques with preservation of musculotendinous attachments, ELIF true minimally invasive surgery has less blood loss, earlier postoperative recovery, and decreased rates of infection in comparison to open surgery. [16][17][18]14,19] The purpose of this study was to evaluate the efficacy of endoscopic transforaminal lumbar interbody fusion in the treatment of degenerative lumbar spondylolisthesis by compare to the standard transforaminal lumbar interbody fusion in our clinical.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic transforaminal lumbar interbody fusion in the treatment of degenerative lumbar spondylolisthesis

Yan¹,

Zhang²,

Zhang³

2019

Preprint

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Background There were no studies in literature of lumbar spondylolisthesis treated by endoscopic surgery. The purpose of this study was to evaluate the efficacy of endoscopic transforaminal lumbar interbody fusion (ELIF) in the treatment of degenerative lumbar spondylolisthesis by compare to the standard transforaminal lumbar interbody fusion (TLIF).Methods A total of 93 patients with lumbar spondylolisthesis who had surgery from February 2017 to January 2018 were categorized into different groups depending on the procedure by ELIF or TLIF. The ELIF and TLIF procedures was performed, and the clinical outcomes of blood loss, operation times, hospital stay days, pain index, ODI score, the spondylolisthesis rate and reduction rate, and the disk height and intervertebral foramen height were recorded.Results There was no intraoperative death in this series. In ends 86 cases had follow-up at least one year and 7 cases lost, and the follow-up rate and followed time were no difference between two groups (P > 0.05). The operational time was longer in ELIF than TLIF (P < 0.01).The hospital days and blood loss were significant less in endoscopic group than TLIF (P < 0.01). The pain index and ODI score, the spondylolisthesis rate and reduction rate, and the disk height and intervertebral foramen height were better than preoperational (P < 0.01), and there were no difference between two groups (P > 0.05). All patients achieved spinal fusion with no cases of cage extrusion, and no infection, and no dural tear of cerebrospinal fluid leakage complication. There were one case of radiculitis (man) at endoscopic group. CT-myelogram revealed the radiculitis patients had normal radiologic findings, and the patient was recovered by neurotrophy drugs and functional exercises after 3 months.Conclusions Endoscopic lumbar decompression and interbody fusion procedures was effective and safe measure in the treatment of the lumbar spondylolisthesis. Compare to open interbody fusion techniques, endoscopic lumbar interbody fusion was minimally invasive surgery with less bold loss and earlier postoperative recovery.

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Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results

Cited by 219 publications

References 14 publications

Unilateral Biportal Endoscopic Lumbar Interbody Fusion. Technical Note and Surgical Comparison with Conventional MIS TLIF.

Unilateral Biportal Endoscopic Lumbar Interbody Fusion. Technical Note and Surgical Comparison with Conventional MIS TLIF.

Percutaneous endoscopic posterior lumbar interbody fusion(PEPLIF): technical note

Endoscopic transforaminal lumbar interbody fusion in the treatment of degenerative lumbar spondylolisthesis

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