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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Format: | Article |
Language: | English |
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Korean Spinal Neurosurgery Society
2020-07-01
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Series: | Neurospine |
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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. |
first_indexed | 2024-03-08T07:32:10Z |
format | Article |
id | doaj.art-8897f262aa5f431eb93d901e04a24d5f |
institution | Directory Open Access Journal |
issn | 2586-6583 2586-6591 |
language | English |
last_indexed | 2024-03-08T07:32:10Z |
publishDate | 2020-07-01 |
publisher | Korean Spinal Neurosurgery Society |
record_format | Article |
series | Neurospine |
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 |
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