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Biportal endoscopic transforaminal thoracic interbody fusion for the treatment of thoracic myelopathy – Lumbar Fusion

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The article discusses the use of biportal endoscopic spine surgery for treating thoracic spondylotic myelopathy, a condition that affects the spinal cord in the thoracic region. This technique allows for independent control of two hands, clear-magnified endoscopic vision, and a broader working space that is not disturbed by retractors. The study found that biportal endoscopic transforaminal thoracic interbody fusion can be a feasible technique for successful neural decompression and safe fusion in patients with thoracic spondylotic myelopathy at the thoracolumbar junction levels

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: Biportal endoscopic transforaminal thoracic interbody fusion can be a feasible technique for treating thoracic spondylotic myelopathy at the thoracolumbar junction levels.

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Acta Neurochir (Wien). 2024 Mar 12;166(1):134. doi: 10.1007/s00701-024-06030-0.ABSTRACTBACKGROUND: Biportal endoscopic spine surgery independently controls two hands, similar to microscopic surgery, and utilizes a broader working space that is not disturbed by retractors under clear-magnified endoscopic vision. These advantages facilitate successful neural decompression and safe transforaminal interbody fusion, even in patients with thoracic spondylotic myelopathy.METHODS: A,

Acta Neurochir (Wien). 2024 Mar 12;166(1):134. doi: 10.1007/s00701-024-06030-0.

ABSTRACT

BACKGROUND: Biportal endoscopic spine surgery independently controls two hands, similar to microscopic surgery, and utilizes a broader working space that is not disturbed by retractors under clear-magnified endoscopic vision. These advantages facilitate successful neural decompression and safe transforaminal interbody fusion, even in patients with thoracic spondylotic myelopathy.

METHODS: A wide laminectomy and precise total facetectomy, in conjunction with partial pediculotomy, establish a secure transforaminal space for cage insertion. Endplate preparation and cage insertion were performed without retracting the spinal cord under direct endoscopic vision.

: Biportal endoscopic transforaminal thoracic interbody fusion can be a feasible technique for treating thoracic spondylotic myelopathy at the thoracolumbar junction levels.

PMID:38472541 | DOI:10.1007/s00701-024-06030-0

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Biportal endoscopic transforaminal thoracic interbody fusion for the treatment of thoracic myelopathy

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Acta Neurochir (Wien). 2024 Mar 12;166(1):134. doi: 10.1007/s00701-024-06030-0.ABSTRACTBACKGROUND: Biportal endoscopic spine surgery independently controls two hands, similar to microscopic surgery, and utilizes a broader working space that is not disturbed by retractors under clear-magnified endoscopic vision. These advantages facilitate successful neural decompression and safe transforaminal interbody fusion, even in patients with thoracic spondylotic myelopathy.METHODS: A
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