The Percutaneous Endoscopic Lumbar Interbody Fusion (PELIF): An Advanced and Innovation Technique

Abstract

The degenerative spine changes, and its costs, have increased with high rates of work absenteeism and difficult clinical management. The search for minimally invasive treatments, with better results and early patients recover, with rapid hospital discharge are alternatives for these problems. The percutaneous endoscopic lumbar interbody fusion (PELIF) is a new and advanced option.

Methods and Early Clinical Results of Percutaneous Lumbar Interbody Fusion

“…Although the above-mentioned PPL-LIF could be regarded as a least invasive LIF, it is in the trial and development stage and there are unique techniques for this procedure, which we classified according to the grafting and insertion methods into the intervertebral space (Table 1). [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Among the insertion techniques utilizing the usual sheath (usual sheath [US] group), the insertion technique of comminuted bone and/or other materials without using any cages (without cage subgroup) is the oldest technique, but it has been reported even recently. [9][10][11][12][13] Because of the lack of supporting structure in the intervertebral disk area, which is the main loading part of the lumbar spine, this technique appears to be principally inferior in terms of stability.…”

“…15 Next, the cage insertion technique, with a large-diameter sheath (LS group), has been described in many reports in recent years. [16][17][18][19][20][21][22][23] The smallest cage used for TLIF is 8 mm in width and 7 mm in height. The outer diameter of a sheath that can contain this cage computationally needs to be 12 mm or more.…”

Historical aspects of video endoscopic surgery of the lumbar spine

“…Перечень нозологий дополнительно включает рецидивы грыж межпозвонковых дисков [61,62], кисты [63], спондилолистезы [64,65], деформации позвоночника [66], хроническую боль в спине [27], радикулопатии, обусловленные патологическими переломами, осложнениями металлоостеосинтеза, эндопротезирования межпозвонковых дисков и аугментации позвонков [67][68][69][70][71][72]. Кроме того, чрескожные эндоскопические технологии апробированы при стабилизации позвоночника [73,74], спондилодисцитах, опухолях, хронической эпидуральной гематоме позвоночника [75][76][77], огнестрельных ранениях [78,79]. В 2020 г. опубликованы первые исследования о применении бипортальной техники чрескожной эндоскопической декомпрессии при грыжах и стенозах позвоночного канала поясничного отдела [80,81].…”