Technique of Biportal Endoscopic Transforaminal Lumbar Interbody Fusion

Biportal endoscopic transforaminal lumbar interbody fusion (TLIF) may have advantages of minimally invasive fusion surgery as well as those of endoscopic surgery. The purpose of this study was to present the biportal endoscopic TLIF technique along with video presentations and a review of the litera...

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Main Authors: Dong Hwa Heo, Young Ho Hong, Dong Chan Lee, Hun Jae Chung, Choon Keun Park
Format: Article
Language:English
Published: Korean Spinal Neurosurgery Society 2020-07-01
Series:Neurospine
Subjects:
Online Access:http://www.e-neurospine.org/upload/pdf/ns-2040178-089.pdf
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author Dong Hwa Heo
Young Ho Hong
Dong Chan Lee
Hun Jae Chung
Choon Keun Park
author_facet Dong Hwa Heo
Young Ho Hong
Dong Chan Lee
Hun Jae Chung
Choon Keun Park
author_sort Dong Hwa Heo
collection DOAJ
description Biportal endoscopic transforaminal lumbar interbody fusion (TLIF) may have advantages of minimally invasive fusion surgery as well as those of endoscopic surgery. The purpose of this study was to present the biportal endoscopic TLIF technique along with video presentations and a review of the literature on this technique. Basically, the biportal endoscopic TLIF technique is similar to minimally invasive TLIF with a tubular retractor. There were 2 options in the biportal endoscopic TLIF procedures. The first was the insertion of one long TLIF cage and the other was the insertion of 2 short posterior lumbar interbody fusion (PLIF) cages. After the interbody fusion procedures, percutaneous pedicles screw fixation was performed. Biportal endoscopic TLIF achieved complete neural decompression through laminectomy and facetectomy like conventional TLIF. Endplate preparation was performed completely under a clear and magnified endoscopic view. It was also feasible to insert a large TLIF cage or 2 cages for PLIF without exiting nerve root injury. Biportal endoscopic TLIF might have the advantages of endoscopic surgery as well as minimally invasive fusion surgery. Direct neural decompression, endplate preparation under endoscopic guidance, and the insertion of a large TLIF cage or 2 PLIF cages may be the merits of biportal endoscopic lumbar fusion procedures.
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spelling doaj.art-8897f262aa5f431eb93d901e04a24d5f2024-02-02T20:04:08ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912020-07-0117Suppl 1S129S13710.14245/ns.2040178.0891031Technique of Biportal Endoscopic Transforaminal Lumbar Interbody FusionDong Hwa Heo0Young Ho Hong1Dong Chan Lee2Hun Jae Chung3Choon Keun Park4 Department of Neurosurgery, Endoscopic Spine Surgery Center, Seoul Bumin Hospital, Seoul, Korea Department of Neurosurgery, Bundang Barunsesang Hospital, Seongnam, Korea Department of Neurosurgery, Wiltse Memorial Hospital, Anyang, Korea Department of Neurosurgery, Endoscopic Spine Surgery Center, Seoul Bumin Hospital, Seoul, Korea Department of Neurosurgery, Wiltse Memorial Hospital, Anyang, KoreaBiportal endoscopic transforaminal lumbar interbody fusion (TLIF) may have advantages of minimally invasive fusion surgery as well as those of endoscopic surgery. The purpose of this study was to present the biportal endoscopic TLIF technique along with video presentations and a review of the literature on this technique. Basically, the biportal endoscopic TLIF technique is similar to minimally invasive TLIF with a tubular retractor. There were 2 options in the biportal endoscopic TLIF procedures. The first was the insertion of one long TLIF cage and the other was the insertion of 2 short posterior lumbar interbody fusion (PLIF) cages. After the interbody fusion procedures, percutaneous pedicles screw fixation was performed. Biportal endoscopic TLIF achieved complete neural decompression through laminectomy and facetectomy like conventional TLIF. Endplate preparation was performed completely under a clear and magnified endoscopic view. It was also feasible to insert a large TLIF cage or 2 cages for PLIF without exiting nerve root injury. Biportal endoscopic TLIF might have the advantages of endoscopic surgery as well as minimally invasive fusion surgery. Direct neural decompression, endplate preparation under endoscopic guidance, and the insertion of a large TLIF cage or 2 PLIF cages may be the merits of biportal endoscopic lumbar fusion procedures.http://www.e-neurospine.org/upload/pdf/ns-2040178-089.pdfendoscopyfusionlumbarminimally invasive surgery
spellingShingle Dong Hwa Heo
Young Ho Hong
Dong Chan Lee
Hun Jae Chung
Choon Keun Park
Technique of Biportal Endoscopic Transforaminal Lumbar Interbody Fusion
Neurospine
endoscopy
fusion
lumbar
minimally invasive surgery
title Technique of Biportal Endoscopic Transforaminal Lumbar Interbody Fusion
title_full Technique of Biportal Endoscopic Transforaminal Lumbar Interbody Fusion
title_fullStr Technique of Biportal Endoscopic Transforaminal Lumbar Interbody Fusion
title_full_unstemmed Technique of Biportal Endoscopic Transforaminal Lumbar Interbody Fusion
title_short Technique of Biportal Endoscopic Transforaminal Lumbar Interbody Fusion
title_sort technique of biportal endoscopic transforaminal lumbar interbody fusion
topic endoscopy
fusion
lumbar
minimally invasive surgery
url http://www.e-neurospine.org/upload/pdf/ns-2040178-089.pdf
work_keys_str_mv AT donghwaheo techniqueofbiportalendoscopictransforaminallumbarinterbodyfusion
AT younghohong techniqueofbiportalendoscopictransforaminallumbarinterbodyfusion
AT dongchanlee techniqueofbiportalendoscopictransforaminallumbarinterbodyfusion
AT hunjaechung techniqueofbiportalendoscopictransforaminallumbarinterbodyfusion
AT choonkeunpark techniqueofbiportalendoscopictransforaminallumbarinterbodyfusion