Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical Note
Adjacent segment disease (ASDis) is a common sequela after lumbar spinal fusion. Current surgical treatment for ASDis with instability is decompression and extended fusion which could be done by posterior, lateral or anterior approach. Oblique lumbar interbody fusion (OLIF) could achieve indirect de...
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| Format: | Article |
| Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2018-12-01
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| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2018-00381.pdf |
| _version_ | 1797951515708620800 |
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| author | Akaworn Mahatthanatrakul Vit Kotheeranurak Guang-Xun Lin Ho Jung Chung Jin-Sung Kim |
| author_facet | Akaworn Mahatthanatrakul Vit Kotheeranurak Guang-Xun Lin Ho Jung Chung Jin-Sung Kim |
| author_sort | Akaworn Mahatthanatrakul |
| collection | DOAJ |
| description | Adjacent segment disease (ASDis) is a common sequela after lumbar spinal fusion. Current surgical treatment for ASDis with instability is decompression and extended fusion which could be done by posterior, lateral or anterior approach. Oblique lumbar interbody fusion (OLIF) could achieve indirect decompression of neural element. But OLIF has a limitation to directly decompress spinal canal in case of a concurrent herniated disc. Spinal endoscopy could enhance the visual field and facilitate herniated disc removal in case of ASDis with migrated lumbar disc herniation. Double trajectory of cortical bone trajectory (CBT) screw and pedicle screw in the same pedicle can be done to avoid the necessity to remove the previous instruments. Intra-operative computed tomography (CT) navigation can guide cortical bone screw when only narrow corridors are left due to the pedicle screws. This study will demonstrate a technical note for ASDis with a concurrent migrated disc herniation at L5-S1 level by combining endoscopic discectomy-assisted OLIF L5-S1 to direct and indirectly decompress neural element with intraoperative CT guided double trajectory CBT screw insertion in lateral decubitus position to avoid the necessity of previous instrument removal and decreased operative time. |
| first_indexed | 2024-04-10T22:31:52Z |
| format | Article |
| id | doaj.art-60479eb845c943cab5e865fafd3c405c |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:31:52Z |
| publishDate | 2018-12-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-60479eb845c943cab5e865fafd3c405c2023-01-17T04:12:57ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432018-12-0132879110.21182/jmisst.2018.0038152Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical NoteAkaworn Mahatthanatrakul0Vit Kotheeranurak1Guang-Xun Lin2Ho Jung Chung3Jin-Sung Kim4 Department of Orthopaedics, Naresuan University Hospital, Phitsanulok, Thailand Department of Orthopaedics, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand Spine Center, Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Spine Center, Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Spine Center, Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaAdjacent segment disease (ASDis) is a common sequela after lumbar spinal fusion. Current surgical treatment for ASDis with instability is decompression and extended fusion which could be done by posterior, lateral or anterior approach. Oblique lumbar interbody fusion (OLIF) could achieve indirect decompression of neural element. But OLIF has a limitation to directly decompress spinal canal in case of a concurrent herniated disc. Spinal endoscopy could enhance the visual field and facilitate herniated disc removal in case of ASDis with migrated lumbar disc herniation. Double trajectory of cortical bone trajectory (CBT) screw and pedicle screw in the same pedicle can be done to avoid the necessity to remove the previous instruments. Intra-operative computed tomography (CT) navigation can guide cortical bone screw when only narrow corridors are left due to the pedicle screws. This study will demonstrate a technical note for ASDis with a concurrent migrated disc herniation at L5-S1 level by combining endoscopic discectomy-assisted OLIF L5-S1 to direct and indirectly decompress neural element with intraoperative CT guided double trajectory CBT screw insertion in lateral decubitus position to avoid the necessity of previous instrument removal and decreased operative time.http://www.jmisst.org/upload/pdf/jmisst-2018-00381.pdfendoscopesoblique lumbar interbody fusioncortical bone trajectory screwdouble trajectory screwintraoperative ct navigationadjacent segment disease |
| spellingShingle | Akaworn Mahatthanatrakul Vit Kotheeranurak Guang-Xun Lin Ho Jung Chung Jin-Sung Kim Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical Note Journal of Minimally Invasive Spine Surgery and Technique endoscopes oblique lumbar interbody fusion cortical bone trajectory screw double trajectory screw intraoperative ct navigation adjacent segment disease |
| title | Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical Note |
| title_full | Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical Note |
| title_fullStr | Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical Note |
| title_full_unstemmed | Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical Note |
| title_short | Endoscope-assisted Oblique Lumbar Interbody Fusion L5-S1 with Posterior Fixation with Cortical Bone Trajectory Screw Plus Pedicle Screw for Treatment of Adjacent Segment Degeneration Disease: A Technical Note |
| title_sort | endoscope assisted oblique lumbar interbody fusion l5 s1 with posterior fixation with cortical bone trajectory screw plus pedicle screw for treatment of adjacent segment degeneration disease a technical note |
| topic | endoscopes oblique lumbar interbody fusion cortical bone trajectory screw double trajectory screw intraoperative ct navigation adjacent segment disease |
| url | http://www.jmisst.org/upload/pdf/jmisst-2018-00381.pdf |
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