How I do it? Extraforaminal lumbar interbody fusion assisted with biportal endoscopic technique

Background The biportal endoscope-assisted unilateral foraminal approach is an option for various foraminal pathologies. Lumbar interbody fusion is the standard treatment for foraminal stenosis because both direct and indirect neural decompressions can be obtained. Method We used the biportal endosc...

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Bibliographic Details
Published in:Acta neurochirurgica 2021, Vol.163 (1), p.295-299
Main Authors: Kang, Min-Seok, Chung, Hoon-Jae, Jung, Ho-Jung, Park, Hyun-Jin
Format: Article
Language:English
Subjects:
Decompression
Decompression, Surgical - instrumentation
Decompression, Surgical - methods
Endoscopes
Endoscopy
Endoscopy - instrumentation
Endoscopy - methods
Female
How I Do it - Spine degenerative
Humans
Interventional Radiology
Lumbar Vertebrae - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Spinal Fusion - instrumentation
Spinal Fusion - methods
Spinal Stenosis - surgery
Spine degenerative
Stenosis
Surgical Orthopedics
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Summary:Background The biportal endoscope-assisted unilateral foraminal approach is an option for various foraminal pathologies. Lumbar interbody fusion is the standard treatment for foraminal stenosis because both direct and indirect neural decompressions can be obtained. Method We used the biportal endoscopic technique for extraforaminal lumbar interbody fusion (BE-EFLIF) and have described the steps, with discussion regarding the indications, advantages, possible complications, and ways to overcome complications. Conclusion BE-EFLIF achieves direct neural decompression of lateral spinal canal under endoscopic visualization. It achieves indirect neural decompression using a large footprint lordotic interbody cage, while preserving the lumbar posterior arch as much as possible.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-020-04435-1