Day Case Lumbar Fusion Surgery
This article is a review of studies that evaluate the outcomes and complications of full-endoscopic lumbar interbody fusion (FE-LIF) with foraminoplasty via a Kambin’s triangle approach (FE-KLIF). The review found that FE-KLIF is a feasible and viable surgical option for lumbar degenerative disease. The procedure was mainly performed at the L4/5 level, but some cases also involved the L5/S1 level. Postoperative improvements were observed in pain and disability scores, although no significant differences were found when compared to other surgical techniques. Complications were relatively low, with reports of surgical site infection, dural tear, and transient nerve disorders. However, the level of evidence in the studies reviewed was low, and long-term outcomes data were limited
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best situated spinal facility in London
Published article
Full-endoscopic (FE) lumbar interbody fusion (LIF) is now a widely used type of minimally invasive surgery (MIS). Although FE-LIF includes LIF with foraminoplasty via a Kambin’s triangle approach (FE-KLIF) and LIF with foraminotomy via an interlaminar approach, these techniques are rarely discussed separately. This review evaluates the outcomes and complications of FE-KLIF reported in the literature. The PubMed, Medline, Embase, Web of Science, and Cochrane Library databases were searched for…
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2023 Jul 13:S1878-8750(23)00957-9. doi: 10.1016/j.wneu.2023.07.026. Online ahead of print.ABSTRACTFull-endoscopic (FE) lumbar interbody fusion (LIF) is now a widely used type of minimally invasive surgery (MIS). Although FE-LIF includes LIF with foraminoplasty via a Kambin’s triangle approach (FE-KLIF) and LIF with foraminotomy via an interlaminar approach, these techniques are rarely discussed separately. This review,
World Neurosurg. 2023 Jul 13:S1878-8750(23)00957-9. doi: 10.1016/j.wneu.2023.07.026. Online ahead of print.
ABSTRACT
Full-endoscopic (FE) lumbar interbody fusion (LIF) is now a widely used type of minimally invasive surgery (MIS). Although FE-LIF includes LIF with foraminoplasty via a Kambin’s triangle approach (FE-KLIF) and LIF with foraminotomy via an interlaminar approach, these techniques are rarely discussed separately. This review evaluates the outcomes and complications of FE-KLIF reported in the literature. The PubMed, Medline, Embase, Web of Science, and Cochrane Library databases were searched for studies reporting the outcomes of FE-KLIF. Of 464 publications assessed, 11 met our inclusion criteria. Although the most frequently treated level was L4/5, L5/S1 was also treated. FE-KLIF was performed under local anesthesia and sedation or under epidural anesthesia without general anesthesia. Visual analog scale and Oswestry Disability Index scores were improved postoperatively in all uncontrolled studies; however, there was no significant difference in these scores in studies that compared FE-KLIF with posterior LIF (PLIF) or MIS-transforaminal LIF (TLIF). There was also no significant difference in the fusion rate between FE-KLIF and PLIF or MIS-TLIF. In terms of complications, although there were no reports of hematoma, dural tear and surgical site infection were reported in 1 paper each, with transient nerve disorders reported in 5 studies (frequency, 1.8%-23.5%). This review indicates that FE-KLIF is a feasible and viable surgical option for lumbar degenerative disease. However, the amount and level of evidence is low for the studies included in this review, and the data on long-term outcomes remain limited.
PMID:37453727 | DOI:10.1016/j.wneu.2023.07.026
The London Spine Unit : best situated spinal facility in London
Read the original publication:
Clinical outcome of Full endoscopic trans Kambin’s triangle lumbar interbody fusion: systematic review
