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...
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Format: | Article |
Jezik: | English |
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Korean Spinal Neurosurgery Society
2020-07-01
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Serija: | Neurospine |
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Online dostop: | http://www.e-neurospine.org/upload/pdf/ns-2040174-087.pdf |
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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 |
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