Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis
Background: Uniportal Endoscopic transforaminal posterolateral approach interbody fusion (Endo-TLIF) is becoming a popular method of fusion, it harnesses the advantage of both Trans Kambin approach endoscopic tranforaminal interbody fusion and biportal transforaminal interbody fusion into one single...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920300438 |
| _version_ | 1819021870404468736 |
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| author | Hyeun Sung Kim Pang Hung Wu Il-Tae Jang |
| author_facet | Hyeun Sung Kim Pang Hung Wu Il-Tae Jang |
| author_sort | Hyeun Sung Kim |
| collection | DOAJ |
| description | Background: Uniportal Endoscopic transforaminal posterolateral approach interbody fusion (Endo-TLIF) is becoming a popular method of fusion, it harnesses the advantage of both Trans Kambin approach endoscopic tranforaminal interbody fusion and biportal transforaminal interbody fusion into one single technique. There is no description of Endo-TLIF with reduction in Grade 2 isthmic spondylolisthesis in the spine literature. Objective: Technical discussion on the management of grade 2 isthmic spondylolisthesis in an elderly population by Endo-TLIF. Methods: Technique was applied in grade 2 isthmic spondylolisthesis with the focus on uniportal endoscopic transforaminal lumbar interbody fusion; particular attention was paid in endoscopic visualization to traversing and exiting nerve root to avoid neurological complications in reducing isthmic spondylolisthesis. Direct endoscopic visualization end plate preparation helped to avoid damage of end plates and ensure adequate disc preparations. Percutaneous rod fixation with complete reduction of isthmic spondylolisthesis of L4/5 was performed. Results: Successful reduction of grade 2 isthmic spondylolisthesis with good post-operative clinical outcome was observed. Conclusion: Full Uniportal Endoscopic Transforaminal Interbody Fusion is a new and evolving technique with potential advantages in end plate preparation, direct visualized neural decompression and safe placement of interbody fusion device. We showed a case of a patient with a grade 2 isthmic spondylolisthesis who had successful reduction of deformity and placement of a large size interbody cage with good post-operative clinical outcome. |
| first_indexed | 2024-12-21T04:13:58Z |
| format | Article |
| id | doaj.art-fbc47e08b4e0419c9400473e44f8437e |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-21T04:13:58Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-fbc47e08b4e0419c9400473e44f8437e2022-12-21T19:16:23ZengElsevierInterdisciplinary Neurosurgery2214-75192020-09-0121100712Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesisHyeun Sung Kim0Pang Hung Wu1Il-Tae Jang2Nanoori Gangnam Hospital, Seoul, Spine Surgery, Republic of South KoreaNanoori Gangnam Hospital, Seoul, Spine Surgery, Republic of South Korea; National University Health Systems, JurongHealth Campus, Orthopaedic Surgery, SingaporeNanoori Gangnam Hospital, Seoul, Spine Surgery, Republic of South KoreaBackground: Uniportal Endoscopic transforaminal posterolateral approach interbody fusion (Endo-TLIF) is becoming a popular method of fusion, it harnesses the advantage of both Trans Kambin approach endoscopic tranforaminal interbody fusion and biportal transforaminal interbody fusion into one single technique. There is no description of Endo-TLIF with reduction in Grade 2 isthmic spondylolisthesis in the spine literature. Objective: Technical discussion on the management of grade 2 isthmic spondylolisthesis in an elderly population by Endo-TLIF. Methods: Technique was applied in grade 2 isthmic spondylolisthesis with the focus on uniportal endoscopic transforaminal lumbar interbody fusion; particular attention was paid in endoscopic visualization to traversing and exiting nerve root to avoid neurological complications in reducing isthmic spondylolisthesis. Direct endoscopic visualization end plate preparation helped to avoid damage of end plates and ensure adequate disc preparations. Percutaneous rod fixation with complete reduction of isthmic spondylolisthesis of L4/5 was performed. Results: Successful reduction of grade 2 isthmic spondylolisthesis with good post-operative clinical outcome was observed. Conclusion: Full Uniportal Endoscopic Transforaminal Interbody Fusion is a new and evolving technique with potential advantages in end plate preparation, direct visualized neural decompression and safe placement of interbody fusion device. We showed a case of a patient with a grade 2 isthmic spondylolisthesis who had successful reduction of deformity and placement of a large size interbody cage with good post-operative clinical outcome.http://www.sciencedirect.com/science/article/pii/S2214751920300438Endoscopic spine surgeryTransforaminal lumbar interbody fusionSpondylolisthesisMinimally invasive spineDegenerative spine |
| spellingShingle | Hyeun Sung Kim Pang Hung Wu Il-Tae Jang Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis Interdisciplinary Neurosurgery Endoscopic spine surgery Transforaminal lumbar interbody fusion Spondylolisthesis Minimally invasive spine Degenerative spine |
| title | Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis |
| title_full | Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis |
| title_fullStr | Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis |
| title_full_unstemmed | Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis |
| title_short | Technical note on Uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis |
| title_sort | technical note on uniportal full endoscopic posterolateral approach transforaminal lumbar interbody fusion with reduction for grade 2 spondylolisthesis |
| topic | Endoscopic spine surgery Transforaminal lumbar interbody fusion Spondylolisthesis Minimally invasive spine Degenerative spine |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920300438 |
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