Percutaneous Transforaminal Endoscopic Lumbar Interbody Fusion: Clinical and Radiological Results of Mean 46-Month Follow-Up

Lee, Sang-Ho; Erken, H. Yener; Bae, Jang–Ho

doi:10.1155/2017/3731983

Cited by 58 publications

(74 citation statements)

References 15 publications

(32 reference statements)

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“…[24,25] The endoscopic can provide a good surgical outcome for decompression with removing the pathogenic structures by minimal invasive procedures than open techniques. [20] With the data of this cases, the nerve decompression and lumbar interbody fusion reconstruction results were no difference between two methods. However, the patients with endoscopic procedures have less blood loss and faster recovery than open techniques.…”

Section: Discussionmentioning

confidence: 62%

“…ELIF maintain the facet joint intact, need more time to accomplish the nerve decompression and interbody fusion by endoscopic procedures. [30,20] After performed the endoscopic procedures, ELIF need to placement the pedicle screws by percutaneous which need more time than open surgery. Then, the ELIF procedures had more operation times than TLIF in this series cases.…”

Section: Discussionmentioning

confidence: 99%

“…The TLIF procedure was performed in the standard fashion as reported in previous studies, and the ELIF procedures was performed under C-arm image step by step. [13,20,19] The endoscopic discectomy and nerve decompression was performed at rst. After nerve decompression accomplished, the working tube for cage insertion was placed in the disc space, and rechecked by the endoscopic to ensure nerve and dual was safe and working tube was on the good position for subtotal discectomy and endplate preparation.…”

Section: Surgical Proceduresmentioning

confidence: 99%

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

Yan

Zhang²,

Zhang

2020

Preprint

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Background Transforaminal lumbar interbody fusion (TLIF) has been widely accepted as a standard treatment option for the patients with lumbar spondylolisthesis with good clinical outcomes. However, some patients suffered from the back pain postoperatively. With the development of minimally invasive endoscopic methods in spine surgery, the current trend of evolution lumbar spinal surgery has been toward endoscopic procedures.Purpose The purpose of this study was to evaluate the clinical outcomes and 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 2016 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 In ends 86 cases had follow-up at least one year and seven 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 an effective and safe measure in the treatment of the lumbar spondylolisthesis. Compare to open interbody fusion techniques, endoscopic lumbar interbody fusion was a minimally invasive surgery with less bold loss discectomy. Eur Spine J 22 (4):727-733.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

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

Yan

Zhang²,

Zhang

2020

Preprint

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“…With the rise and development of precision medicine, minimally invasive surgeries aimed to cure disc diseases are more and more common, and the development of percutaneous endoscopy technology makes it possible to treat spinal diseases accurately. [14,[21][22][23][24]However, the learning curve of PTED technique is steep, which is di cult for many beginners to administer. [25]The poor curative effects and complications were common mostly because of the ambiguous anatomy under the endoscopy, so it is urgent to explore a still and distinct symbol to instruct the surgeons to recognize other tissue.…”

Section: Discussionmentioning

confidence: 99%

Superior Articular Process Osteotomy Navigation (SapON) Technology in Percutaneous Endoscopic Lumbar Discectomy: A New Surgical Technology

Wang

et al. 2020

Preprint

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Background: This research aims to discuss the clinical application value of the superior articular process osteotomy navigation (SapON) technique in percutaneous endoscopic lumbar discectomy.Methods: Patients who underwent intervertebral foraminal endoscopic surgery for degenerative disease of the lumbar spine were collected and divided into two groups from March 2016 to May 2018. Group I: 69 patients were treated by the SapON technique. Group II: 53 patients were treated by Transforaminal Endoscopic Spine Surgery (TESS) technique. Fluoroscopy times, the time of establishment working channel, endoscopic operations, and entire operations in two groups were recorded. Patients' clinical curative effect was evaluated by visual analog scale (VAS) scores, Oswestry disability index(ODI), and MacNab standard at different time points, including before surgeries, one day, three months after surgeries, and the last follow-up time.Results: Operations were all successful both in groups I and II. Fluoroscopy times, establishing the working tunnels time, endoscopic operations time, and entire operations time and other indexes between the two groups were statistically significant. Patients’ low back, legs pain VAS scores, and ODI one day, three months after surgeries, and at the last follow-up in both two groups were significantly lower than those before operations with a statistical difference. The excellent rate in groups I and II were 98.55% and 96.23%. Complications were not observed in group I, while in group II, only one patient suffered the injury of the right L5 nerve root, and recovered after three months’ conservative treatment.Conclusion: The application of SapON in percutaneous endoscopic lumbar discectomy (PELD) has its advantages to popularize in clinical work, including operating simply and orderly, high safety, fewer complications, lower radiation exposure, and good clinical effects

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“…The TLIF procedure was performed in the standard fashion as reported in previous studies, and the ELIF procedures was performed under C-arm image step by step. [13,20,19] First, endoscopic discectomy and nerve decompression. After nerve decompression accomplished, the working tube for cage insertion was placed in the disc space, and rechecked by the endoscopic to ensure nerve and dual was safe and working tube was on the good position for subtotal discectomy and endplate preparation.…”

Section: Surgical Proceduresmentioning

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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Percutaneous Transforaminal Endoscopic Lumbar Interbody Fusion: Clinical and Radiological Results of Mean 46-Month Follow-Up

Cited by 58 publications

References 15 publications

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

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

Superior Articular Process Osteotomy Navigation (SapON) Technology in Percutaneous Endoscopic Lumbar Discectomy: A New Surgical Technology

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

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