Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note
<b>Background:</b> Severe collapsed disc secondary to degenerative spinal conditions leads to significant foraminal stenosis. We hypothesized that uniportal posterolateral transforaminal lumbar interbody fusion with endoscopic disc drilling technique could be safely applied to the collap...
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MDPI AG
2020-06-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/10/6/373 |
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| author | Pang Hung Wu Hyeun Sung Kim Yeon Jin Lee Dae Hwan Kim Jun Hyung Lee Jun Bok Jeon Harshavardhan Dilip Raorane Il-Tae Jang |
| author_facet | Pang Hung Wu Hyeun Sung Kim Yeon Jin Lee Dae Hwan Kim Jun Hyung Lee Jun Bok Jeon Harshavardhan Dilip Raorane Il-Tae Jang |
| author_sort | Pang Hung Wu |
| collection | DOAJ |
| description | <b>Background:</b> Severe collapsed disc secondary to degenerative spinal conditions leads to significant foraminal stenosis. We hypothesized that uniportal posterolateral transforaminal lumbar interbody fusion with endoscopic disc drilling technique could be safely applied to the collapsed disc space to improve patients’ pain score, restore disc height, and correct the segmental angular parameters. <b>Methods:</b> We included patients who met the indication criteria for lumbar fusion and underwent uniportal full endoscopic posterolateral transforaminal lumbar interbody fusion with pre-operative Computer Tomography mid disc height of less than or equal to 5 mm and MRI of Grade 3 Foraminal Stenosis. Visual analogue scale and computer tomography pre-operative and post-operative sagittal disc height in the anterior, middle and posterior part of the disc; sagittal focal segmental angle; mid coronal disc height and coronal wedge angles were evaluated. <b>Results:</b> 30 levels of Endo-TLIF were included, with a mean follow up of 12 months. The mean improvement in decreasing pain score was 2.5 ± 1.1, 3.2 ± 0.9 and 4.3 ± 1.0 at 1 week post operation, 3 months post operation and at final follow up, respectively, <i>p</i> < 0.05. There was significant increase in mid sagittal computer tomographic anterior, middle and posterior disc height of 6.99 ± 2.30, 6.28 ± 1.44, 5.12 ± 1.79 mm respectively, <i>p</i> < 0.05. CT mid coronal disc height showed an increase of 7.13 ± 1.90 mm, <i>p</i> < 0.05. There was a significant improvement in the CT coronal wedge angle of 2.35 ± 4.73 and the CT segmental focal sagittal angle of 1.98 ± 4.69, <i>p</i> < 0.05. <b>Conclusion:</b> Application of Uniportal Endoscopic Posterolateral Lumbar Interbody Fusion in patients with severe foraminal stenosis secondary to severe collapsed disc space significantly relieved patients’ pain and restored disc height without early subsidence or exiting nerve root dysesthesia in our cohort of patients. |
| first_indexed | 2024-03-10T19:09:57Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T19:09:57Z |
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| spelling | doaj.art-320d7578335843c6b40d6935ec8cc3ed2023-11-20T03:53:20ZengMDPI AGBrain Sciences2076-34252020-06-0110637310.3390/brainsci10060373Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical NotePang Hung Wu0Hyeun Sung Kim1Yeon Jin Lee2Dae Hwan Kim3Jun Hyung Lee4Jun Bok Jeon5Harshavardhan Dilip Raorane6Il-Tae Jang7Spine Surgery, Nanoori Gangnam Hospital, Seoul 06048, KoreaSpine Surgery, Nanoori Gangnam Hospital, Seoul 06048, KoreaSpine Surgery, Nanoori Gangnam Hospital, Seoul 06048, KoreaSpine Surgery, Nanoori Gangnam Hospital, Seoul 06048, KoreaSpine Surgery, Nanoori Gangnam Hospital, Seoul 06048, KoreaSpine Surgery, Nanoori Gangnam Hospital, Seoul 06048, KoreaSpine Surgery, Nanoori Gangnam Hospital, Seoul 06048, KoreaSpine Surgery, Nanoori Gangnam Hospital, Seoul 06048, Korea<b>Background:</b> Severe collapsed disc secondary to degenerative spinal conditions leads to significant foraminal stenosis. We hypothesized that uniportal posterolateral transforaminal lumbar interbody fusion with endoscopic disc drilling technique could be safely applied to the collapsed disc space to improve patients’ pain score, restore disc height, and correct the segmental angular parameters. <b>Methods:</b> We included patients who met the indication criteria for lumbar fusion and underwent uniportal full endoscopic posterolateral transforaminal lumbar interbody fusion with pre-operative Computer Tomography mid disc height of less than or equal to 5 mm and MRI of Grade 3 Foraminal Stenosis. Visual analogue scale and computer tomography pre-operative and post-operative sagittal disc height in the anterior, middle and posterior part of the disc; sagittal focal segmental angle; mid coronal disc height and coronal wedge angles were evaluated. <b>Results:</b> 30 levels of Endo-TLIF were included, with a mean follow up of 12 months. The mean improvement in decreasing pain score was 2.5 ± 1.1, 3.2 ± 0.9 and 4.3 ± 1.0 at 1 week post operation, 3 months post operation and at final follow up, respectively, <i>p</i> < 0.05. There was significant increase in mid sagittal computer tomographic anterior, middle and posterior disc height of 6.99 ± 2.30, 6.28 ± 1.44, 5.12 ± 1.79 mm respectively, <i>p</i> < 0.05. CT mid coronal disc height showed an increase of 7.13 ± 1.90 mm, <i>p</i> < 0.05. There was a significant improvement in the CT coronal wedge angle of 2.35 ± 4.73 and the CT segmental focal sagittal angle of 1.98 ± 4.69, <i>p</i> < 0.05. <b>Conclusion:</b> Application of Uniportal Endoscopic Posterolateral Lumbar Interbody Fusion in patients with severe foraminal stenosis secondary to severe collapsed disc space significantly relieved patients’ pain and restored disc height without early subsidence or exiting nerve root dysesthesia in our cohort of patients.https://www.mdpi.com/2076-3425/10/6/373endoscopic spine surgerytransforaminal lumbar interbody fusiondegenerative spine diseaseendoscopic lumbar interbody fusionspinal fusion |
| spellingShingle | Pang Hung Wu Hyeun Sung Kim Yeon Jin Lee Dae Hwan Kim Jun Hyung Lee Jun Bok Jeon Harshavardhan Dilip Raorane Il-Tae Jang Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note Brain Sciences endoscopic spine surgery transforaminal lumbar interbody fusion degenerative spine disease endoscopic lumbar interbody fusion spinal fusion |
| title | Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note |
| title_full | Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note |
| title_fullStr | Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note |
| title_full_unstemmed | Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note |
| title_short | Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion with Endoscopic Disc Drilling Preparation Technique for Symptomatic Foraminal Stenosis Secondary to Severe Collapsed Disc Space: A Clinical and Computer Tomographic Study with Technical Note |
| title_sort | uniportal full endoscopic posterolateral transforaminal lumbar interbody fusion with endoscopic disc drilling preparation technique for symptomatic foraminal stenosis secondary to severe collapsed disc space a clinical and computer tomographic study with technical note |
| topic | endoscopic spine surgery transforaminal lumbar interbody fusion degenerative spine disease endoscopic lumbar interbody fusion spinal fusion |
| url | https://www.mdpi.com/2076-3425/10/6/373 |
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