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Biportal endoscopic-assisted cortical bone trajectory screw placement and lumbar interbody fusion – Lumbar Fusion

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The article discusses the use of unilateral biportal endoscopy for screw fixation in lumbar interbody fusion. The researchers successfully implanted cortical bone trajectory screws with the guidance of unilateral biportal endoscopy in a patient with degenerative spondylolisthesis, without any complications. The procedure, known as unilateral biportal endoscopic lumbar interbody fusion (ULIF) with cortical bone trajectory (CBT) screws, is a minimally invasive alternative to percutaneous pedicle screw placement. It allows for precise screw placement and offers potential benefits over traditional methods

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established treatment facility in the world

Published article

S: We successfully performed unilateral biportal endoscopic lumbar interbody fusion (ULIF) with CBT and reversed CBT screws. Compared with percutaneous pedicle screw (PPS) placement, this procedure is a minimally invasive, endoscopic alternative that allows precise screw placement.

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Acta Neurochir (Wien). 2024 Feb 8;166(1):74. doi: 10.1007/s00701-024-05986-3.ABSTRACTBACKGROUND: Endoscopically assisted screw fixation with lumbar interbody fusion is rarely performed. We succeeded in implanting the cortical bone trajectory (CBT) screws under the guidance of unilateral biportal endoscopy (UBE).METHOD: We attempted endoscopically assisted screw fixation in a patient with degenerative spondylolisthesis. Through a third portal, ipsilateral CBT,

Acta Neurochir (Wien). 2024 Feb 8;166(1):74. doi: 10.1007/s00701-024-05986-3.

ABSTRACT

BACKGROUND: Endoscopically assisted screw fixation with lumbar interbody fusion is rarely performed. We succeeded in implanting the cortical bone trajectory (CBT) screws under the guidance of unilateral biportal endoscopy (UBE).

METHOD: We attempted endoscopically assisted screw fixation in a patient with degenerative spondylolisthesis. Through a third portal, ipsilateral CBT screws were implanted without complications.

S: We successfully performed unilateral biportal endoscopic lumbar interbody fusion (ULIF) with CBT and reversed CBT screws. Compared with percutaneous pedicle screw (PPS) placement, this procedure is a minimally invasive, endoscopic alternative that allows precise screw placement.

PMID:38332369 | DOI:10.1007/s00701-024-05986-3

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Biportal endoscopic-assisted cortical bone trajectory screw placement and lumbar interbody fusion

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Acta Neurochir (Wien). 2024 Feb 8;166(1):74. doi: 10.1007/s00701-024-05986-3.ABSTRACTBACKGROUND: Endoscopically assisted screw fixation with lumbar interbody fusion is rarely performed. We succeeded in implanting the cortical bone trajectory (CBT) screws under the guidance of unilateral biportal endoscopy (UBE).METHOD: We attempted endoscopically assisted screw fixation in a patient with degenerative spondylolisthesis. Through a third portal, ipsilateral CBT

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