Ten-Step Biportal Endoscopic Transforaminal Lumbar Interbody Fusion Under Computed Tomography-Based Intraoperative Navigation: Technical Report and Preliminary Outcomes in Mexico

Abstract

BACKGROUND The principal advantage of intraoperative spinal navigation is the ease of screw placement. However, visualization and the integration of navigation can be explored with the use of navigation-guided full-endoscopic techniques. OBJECTIVE To describe the stepwise intraoperative navigation-assisted unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) technique and to present our preliminary results in a Mexican population. METHODS A 10-step summary of the UBE-TLIF operative technique was described, and the clinical and radiological results are presented and analyzed. RESULTS A total of 7 patients were treated. We observed the value of integrating navigation and endoscopic visualization when decompression had to be performed. CONCLUSION Together, intraoperative navigation and direct visualization through the endoscope may be a useful surgical tool for surgeons with experience in endoscopic spinal surgery.

Clinical comparison of unilateral biportal endoscopic discectomy with percutaneous endoscopic lumbar discectomy for single l4/5‐level lumbar disk herniation

“…The surgeon could perform great precise decompression in a magnified and clear surgical field with high‐definition arthroscope and high‐pressure normal saline irrigation. The technique allows the decompression of the contralateral side and the identification of the traversing root as well as the contralateral facet without excessive resection of the bony structure 7,8 …”

“…The technique allows the decompression of the contralateral side and the identification of the traversing root as well as the contralateral facet without excessive resection of the bony structure. 7,8 In recent years, thanks to the rapid development of high-resolution endoscopes in recent years, percutaneous endoscopic lumbar discectomy (PELD) has been widely used for LDH as another kind of spinal minimally invasive surgery. In 1983, Kambin and Gellman introduced that PELD is an alternative minimally invasive spine surgery.…”

Lumbosacral Interbody Fusion Using a Biportal Endoscopic Technique for Patients with Multilevel Severe Degenerative Lumbosacral Spondylosis: Technical Note and Case Presentations

“…However, the advantages of BESS may be valid for sufficient decompression and careful exploration. Reports on the feasibility of BESS interbody fusion in cases of lytic spondylolisthesis and single-level degenerative spondylolisthesis have been published [6][7][8] .…”

“…Reports on the feasibility of BESS interbody fusion in cases of lytic spondylolisthesis and single-level degenerative spondylolisthesis have been published. [6][7][8] Thus, here, we aim to describe a surgical technique of decompression and interbody fusion using the BESS and present clinical and radiologic results in patients with severe multilevel DLS.…”

“…Reports on the feasibility of BESS interbody fusion in cases of lytic spondylolisthesis and single-level degenerative spondylolisthesis have been published. 6 7 8…”