The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case Report

Minimally invasive techniques for transforaminal lumbar interbody fusion (MIS-TLIF) are advantageous because they allow for sufficient surgical exposure and fewer complications through a smaller incision than conventional TLIF. It could be difficult to maintain minimally invasive spine surgery follo...

Popoln opis

Bibliografske podrobnosti
Main Authors: Kwang-Ryeol Kim, Jeong-Yoon Park
Format: Article
Jezik:English
Izdano: Korean Spinal Neurosurgery Society 2020-07-01
Serija:Neurospine
Teme:
Online dostop:http://www.e-neurospine.org/upload/pdf/ns-2040174-087.pdf
_version_ 1827362620412264448
author Kwang-Ryeol Kim
Jeong-Yoon Park
author_facet Kwang-Ryeol Kim
Jeong-Yoon Park
author_sort Kwang-Ryeol Kim
collection DOAJ
description Minimally invasive techniques for transforaminal lumbar interbody fusion (MIS-TLIF) are advantageous because they allow for sufficient surgical exposure and fewer complications through a smaller incision than conventional TLIF. It could be difficult to maintain minimally invasive spine surgery following the unexpected complications after MIS-TLIF. Because MIS-TLIF is usually done via a paramedian small incision with posterior fusion using screws and rods, visualization of the surgical field is limited, and it is difficult to directly assess the neural structure without removing instrumentation. Unilateral biportal endoscopic decompression (UBE) is a rapidly growing surgical method using two 1-cm incisions that are 2 to 3 cm apart. We would like to suggest UBE as an option for immediate reoperation after MIS-TLIF because it has the advantages of targeting pathologic regions and a wide field of visualization through small wounds. The operation is independent of the existing incision from MIS-TLIF, enabling immediate revision surgery without the removal of the screws and rods. UBE has the advantages of targeting specific surgical regions and providing a wide visualization of the operation field through small incisions. UBE can be very useful for discectomy or decompression surgery as well as in immediate reoperation after MIS-TLIF.
first_indexed 2024-03-08T07:31:54Z
format Article
id doaj.art-3ead7fdeabda4508b4b88a26a2c2f797
institution Directory Open Access Journal
issn 2586-6583
2586-6591
language English
last_indexed 2024-03-08T07:31:54Z
publishDate 2020-07-01
publisher Korean Spinal Neurosurgery Society
record_format Article
series Neurospine
spelling doaj.art-3ead7fdeabda4508b4b88a26a2c2f7972024-02-02T20:12:31ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912020-07-0117Suppl 1S154S15910.14245/ns.2040174.0871050The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case ReportKwang-Ryeol Kim0Jeong-Yoon Park1 Department of Neurosurgery, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea Department of Neurosurgery, Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine, Seoul, KoreaMinimally invasive techniques for transforaminal lumbar interbody fusion (MIS-TLIF) are advantageous because they allow for sufficient surgical exposure and fewer complications through a smaller incision than conventional TLIF. It could be difficult to maintain minimally invasive spine surgery following the unexpected complications after MIS-TLIF. Because MIS-TLIF is usually done via a paramedian small incision with posterior fusion using screws and rods, visualization of the surgical field is limited, and it is difficult to directly assess the neural structure without removing instrumentation. Unilateral biportal endoscopic decompression (UBE) is a rapidly growing surgical method using two 1-cm incisions that are 2 to 3 cm apart. We would like to suggest UBE as an option for immediate reoperation after MIS-TLIF because it has the advantages of targeting pathologic regions and a wide field of visualization through small wounds. The operation is independent of the existing incision from MIS-TLIF, enabling immediate revision surgery without the removal of the screws and rods. UBE has the advantages of targeting specific surgical regions and providing a wide visualization of the operation field through small incisions. UBE can be very useful for discectomy or decompression surgery as well as in immediate reoperation after MIS-TLIF.http://www.e-neurospine.org/upload/pdf/ns-2040174-087.pdfendoscopic surgical procedureminimally invasive surgerypostoperative complicationsreoperation
spellingShingle Kwang-Ryeol Kim
Jeong-Yoon Park
The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case Report
Neurospine
endoscopic surgical procedure
minimally invasive surgery
postoperative complications
reoperation
title The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case Report
title_full The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case Report
title_fullStr The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case Report
title_full_unstemmed The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case Report
title_short The Technical Feasibility of Unilateral Biportal Endoscopic Decompression for The Unpredicted Complication Following Minimally Invasive Transforaminal Lumbar Interbody Fusion: Case Report
title_sort technical feasibility of unilateral biportal endoscopic decompression for the unpredicted complication following minimally invasive transforaminal lumbar interbody fusion case report
topic endoscopic surgical procedure
minimally invasive surgery
postoperative complications
reoperation
url http://www.e-neurospine.org/upload/pdf/ns-2040174-087.pdf
work_keys_str_mv AT kwangryeolkim thetechnicalfeasibilityofunilateralbiportalendoscopicdecompressionfortheunpredictedcomplicationfollowingminimallyinvasivetransforaminallumbarinterbodyfusioncasereport
AT jeongyoonpark thetechnicalfeasibilityofunilateralbiportalendoscopicdecompressionfortheunpredictedcomplicationfollowingminimallyinvasivetransforaminallumbarinterbodyfusioncasereport
AT kwangryeolkim technicalfeasibilityofunilateralbiportalendoscopicdecompressionfortheunpredictedcomplicationfollowingminimallyinvasivetransforaminallumbarinterbodyfusioncasereport
AT jeongyoonpark technicalfeasibilityofunilateralbiportalendoscopicdecompressionfortheunpredictedcomplicationfollowingminimallyinvasivetransforaminallumbarinterbodyfusioncasereport