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首页> 外文期刊>Neurosurgical focus >Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results
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Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results

机译：经皮单侧双门内镜技术进行全内镜腰椎椎间融合术：技术说明和初步临床结果

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OBJECTIVE Minimally invasive spine surgery can minimize damage to normal anatomical structures. Recently, fully endoscopic spine surgeries have been attempted for lumbar fusion surgery. In this study, the authors performed a percutaneous unilateral biportal endoscopic (UBE) technique as a minimally invasive surgery for lumbar fusion. The purpose of this study is to present the UBE technique of fully endoscopic lumbar interbody fusion (LIF) and to analyze the clinical results. METHODS Patients who were to undergo single-level fusion surgery from L3–4 to L5–S1 were enrolled. Two channels (endoscopic portal and working portal) were used for endoscopic lumbar fusion surgery. All patients underwent follow-up for more than 12 months. Demographic characteristics, diagnosis, operative time, and estimated blood loss were evaluated. MRI was performed on postoperative Day 2. Clinical evaluations (visual analog scale [VAS] for the leg and Oswestry Disability Index [ODI] scores) were performed preoperatively and during the follow-up period. RESULTS A total of 69 patients (24 men and 45 women) were enrolled in this study. The mean follow-up period was 13.5 months. Postoperative MRI revealed optimal direct neural decompression after fully endoscopic fusion surgery. VAS and ODI scores significantly improved after the surgery. There was no postoperative neurological deterioration. CONCLUSIONS Fully endoscopic LIF using the UBE technique may represent an alternative minimally invasive LIF surgery for the treatment of degenerative lumbar disease. Long-term follow-up and larger clinical studies are needed to validate the clinical and radiological results of this surgery.
机译：目的微创脊柱手术可以最大程度地减少对正常解剖结构的损害。近来，已经尝试完全内窥镜脊柱手术进行腰椎融合手术。在这项研究中，作者进行了经皮单侧双门内镜（UBE）技术作为腰椎融合的微创手术。这项研究的目的是介绍完全内窥镜腰椎椎间融合术（LIF）的UBE技术并分析临床结果。方法纳入从L3–4到L5–S1进行单层融合手术的患者。内窥镜腰椎融合术使用两个通道（内窥镜门和工作门）。所有患者均接受了超过12个月的随访。人口统计学特征，诊断，手术时间和估计的失血进行了评估。术后第2天进行MRI。在术前和随访期间进行了临床评估（腿部视觉模拟量表[VAS]和Oswestry残疾指数[ODI]评分）。结果本研究共纳入69例患者（24例男性和45例女性）。平均随访期为13.5个月。术后MRI显示完全内镜融合手术后最佳的直接神经减压。术后VAS和ODI评分明显改善。术后无神经功能恶化。结论采用UBE技术的全内镜LIF可能代表了一种用于治疗退行性腰椎疾病的微创LIF手术。需要长期随访和较大的临床研究，以验证该手术的临床和放射学结果。

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