Totally endoscopic lumbar interbody fusion utilizing a percutaneous unilateral biportal endoscopic approach: technical notice and preliminary scientific outcomes.
Neurosurg Focus. 2017 Aug;43(2):E8
Authors: Heo DH, Son SK, Eum JH, Park CK
OBJECTIVE Minimally invasive backbone surgical procedure can reduce injury to regular anatomical buildings. Just lately, absolutely endoscopic backbone surgical procedures have been tried for lumbar fusion surgical procedure. On this research, the authors carried out a percutaneous unilateral biportal endoscopic (UBE) approach as a minimally invasive surgical procedure for lumbar fusion. The aim of this research is to current the UBE strategy of absolutely endoscopic lumbar interbody fusion (LIF) and to investigate the scientific outcomes. METHODS Sufferers who had been to bear single-level fusion surgical procedure from L3-Four to L5-S1 had been enrolled. Two channels (endoscopic portal and dealing portal) had been used for endoscopic lumbar fusion surgical procedure. All sufferers underwent follow-up for greater than 12 months. Demographic traits, analysis, operative time, and estimated blood loss had been evaluated. MRI was carried out on postoperative Day 2. Scientific evaluations (visible analog scale [VAS] for the leg and Oswestry Incapacity Index [ODI] scores) had been carried out preoperatively and throughout the follow-up interval. RESULTS A complete of 69 sufferers (24 males and 45 ladies) had been enrolled on this research. The imply follow-up interval was 13.5 months. Postoperative MRI revealed optimum direct neural decompression after absolutely endoscopic fusion surgical procedure. VAS and ODI scores considerably improved after the surgical procedure. There was no postoperative neurological deterioration. CONCLUSIONS Totally endoscopic LIF utilizing the UBE approach might symbolize an alternate minimally invasive LIF surgical procedure for the therapy of degenerative lumbar illness. Lengthy-term follow-up and bigger scientific research are wanted to validate the scientific and radiological outcomes of this surgical procedure.
PMID: 28760038 [PubMed – indexed for MEDLINE]